Individual
DR. RICHARD JOSEPH NOWAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD MS
Contact information
Practice address
155 NORTH ROAD, EAST WINDSOR, CT 06088
(860) 623-8217
(860) 627-7706
Mailing address
155 NORTH ROAD, EAST WINDSOR, CT 06088
(860) 623-8217
(860) 627-7706
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
CT725
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004023883
—
CT
01
—
090000725CT01
BLUE CROSS
CT
01
—
398175
UHC
—
01
—
603005
CONN CARE
CT
Enumeration date
03/06/2007
Last updated
03/23/2010
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