Individual
ANDREW S. NOVICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
355 GRAND ST, JERSEY CITY, NJ 07302-4321
(732) 390-0040
(732) 390-1856
Mailing address
579A CRANBURY RD, EAST BRUNSWICK, NJ 08816
(732) 390-0040
(732) 390-1856
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
25MA05002100
NJ
2085R0204X
Vascular & Interventional Radiology Physician
Primary
25MA05002100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0621803
—
NJ
Enumeration date
05/24/2006
Last updated
01/16/2013
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