Individual
PETER NOVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 LAKE AVE N, DEPARTMENT OF NEUROLOGY, WORCESTER, MA 01655-0002
(508) 334-2527
(508) 856-6778
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
213227
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0170101
—
MA
Enumeration date
04/05/2006
Last updated
08/04/2011
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