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Individual

DR. DAVID M. NOVICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 GENERAL ST, LAWRENCE GENERAL HOSPITAL, LAWRENCE, MA 01841-2961
(978) 946-8103
(978) 946-8067
Mailing address
PO BOX 615, L&M RADIOLOGY, INC., ACTON, MA 01720-0615
(978) 266-2676
(978) 266-2680

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
57641
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01Y008541MA01
NH BLUE SHIELD ANTHEM
NH
05
110044506A
MA
01
11087196
CAQH #
MA
01
113710
AETNA/US HEALTHCARE
MD
01
246301
HARVARD PILGRIM HEALTHCAR
MA
01
30002021
NH MEDICAID
NH
01
300042737
RAILROAD MEDICARE
MA
01
38758
HEALTHY START
MA
01
62021
FALLON
MA
01
6725467
CIGNA
MA
01
712670
TUFTS HEALTH PLAN
MA
01
916732
FIRST HEALTH & CCN
MA
01
991461
NETWORK HEALTH
MA
01
J06260
BLUE CROSS/BLUE SHIELD
MA
Enumeration date
09/20/2005
Last updated
09/26/2017
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