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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