| John P. Nowicki M.D. P.C. | |
|
2044 Bridgeport Ave Milford CT 06460-4633 | |
| (203) 874-0248 | |
| (203) 874-7504 |
| Full Name | John P. Nowicki M.D. P.C. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2044 Bridgeport Ave, Milford, Connecticut |
| Authorized Official Name and Position | John Peter Nowicki (OWNER/M.D.) |
| Authorized Official Contact | 2038740248 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John P. Nowicki M.D. P.C. 2044 Bridgeport Ave Milford CT 06460-4633 Ph: (203) 874-0248 | John P. Nowicki M.D. P.C. 2044 Bridgeport Ave Milford CT 06460-4633 Ph: (203) 874-0248 |
| NPI Number | 1720236367 |
|---|---|
| Provider Enumeration Date | 09/08/2008 |
| Last Update Date | 09/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720236367 | NPI | - | NPPES |
| 000384 | Other | CT | HEALTH NET OF CONNECTICUT |
| 001197037 | Medicaid | CT | |
| 010019703CT01 | Other | CT | ANTHEM BLUE CROSS AND BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 019703CT (Connecticut) | Primary |
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