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Individual

MARIOLA M NOWAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1672 S COUNTY TRL, SUITE 303, EAST GREENWICH, RI 02818-5098
(401) 884-0020
(401) 884-0019
Mailing address
1672 S COUNTY TRL, SUITE 303, EAST GREENWICH, RI 02818-5098
(401) 884-0020
(401) 884-0019

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9605
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9025605
RI
Enumeration date
05/25/2006
Last updated
08/16/2011
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