Individual
NELLIE NOVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
817 FEDERAL STREET,, SUITE 300, CAMDEN, NJ 08103
(856) 541-5933
(856) 541-3340
Mailing address
817 FEDERAL STREET, CAMDEN, NJ 08103
(856) 541-5933
(856) 541-3340
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
25MA05354100
NJ
208000000X
Pediatrics Physician
Primary
25MA05354100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2105705
—
NJ
Enumeration date
07/18/2006
Last updated
10/06/2023
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