Individual
DR. GLENN JOSEPH NOVAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
51 WESTCHESTER DR, YOUNGSTOWN, OH 44515-3902
(330) 799-1718
(330) 799-8328
Mailing address
51 WESTCHESTER DR, YOUNGSTOWN, OH 44515-3902
(330) 799-1718
(330) 799-8328
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
003058
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0766434
—
OH
Enumeration date
07/20/2005
Last updated
12/02/2009
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