Individual
DR. MATTHEW JOHN NOVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD60878072
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02985266
—
NY
05
—
1021675260001
—
PA
05
—
2107794
—
WA
01
—
GU040072
PA MEDICARE GROUP
PA
Enumeration date
11/28/2007
Last updated
11/05/2018
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