Individual
DR. STUART N. NOVACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
761 MAIN AVE, NORWALK, CT 06851-1080
(203) 852-2290
(203) 899-5029
Mailing address
761 MAIN AVE STE 112, NORWALK, CT 06851-1080
(203) 852-2290
(203) 899-5029
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
015540
CT
207RR0500X
Rheumatology Physician
Primary
015540
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001155407
—
CT
05
—
1972595494
—
DC
Enumeration date
08/19/2005
Last updated
02/12/2019
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