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Organization

JOHN P. NOWICKI M.D. P.C.

Active
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Organization

JOHN P. NOWICKI M.D. P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN PETER NOWICKI M.D. (OWNER/M.D.)
(203) 874-0248
Entity
Organization

Contact information

Practice address
2044 BRIDGEPORT AVE, MILFORD, CT 06460-4633
(203) 874-0248
(203) 874-7504
Mailing address
2044 BRIDGEPORT AVE, MILFORD, CT 06460-4633
(203) 874-0248
(203) 874-7504

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
019703CT
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000384
HEALTH NET OF CONNECTICUT
CT
05
001197037
CT
01
010019703CT01
ANTHEM BLUE CROSS AND BLUE SHIELD
CT
Enumeration date
09/08/2008
Last updated
09/08/2008
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