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Individual

ANNA NOWINOWSKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1945 STATE ROUTE 33, RTE 33, NEPTUNE, NJ 07753-4859
(732) 776-4203
Mailing address
170 OAK PL, FAIR HAVEN, NJ 07704-3552

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
25 MA070931
NJ
208000000X
Pediatrics Physician
Primary
25MA07093100
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
25MA 070931
MEDICAL LICENSE
NJ
05
8392404
NJ
01
D07825400
STATE NARCOTICS LICENSE
NJ
Enumeration date
09/05/2006
Last updated
03/07/2023
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