Individual
PAUL MICHAEL NOWAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
365 MONTAUK AVE, NEW LONDON, CT 06320-4700
(860) 442-0711
Mailing address
700 PLEASANT VALLEY RD N APT C314, GROTON, CT 06340-2547
(845) 519-4401
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
64887
CT
207L00000X
Anesthesiology Physician
DO01017
RI
Other
Enumeration date
04/15/2016
Last updated
07/16/2020
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