Individual
DR. DOUGLAS NOWACKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 EAGLE AVE, OCEAN, NJ 07712
(732) 660-6200
(732) 660-6201
Mailing address
1200 EAGLE AVE, OCEAN, NJ 07712-7631
(732) 660-6200
(732) 660-6201
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
25MA10656500
NJ
Other
Enumeration date
05/02/2013
Last updated
09/26/2019
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