| Noel C Nowicki Md Pa | |
|
292 Bloomfield Ave Montclair NJ 07042-3624 | |
| (973) 655-1005 | |
| (973) 655-0095 |
| Full Name | Noel C Nowicki Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 292 Bloomfield Ave, Montclair, New Jersey |
| Authorized Official Name and Position | Noel C Nowicki (OWNER) |
| Authorized Official Contact | 9736551005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Noel C Nowicki Md Pa 292 Bloomfield Ave Montclair NJ 07042-3624 Ph: (973) 655-1005 | Noel C Nowicki Md Pa 292 Bloomfield Ave Montclair NJ 07042-3624 Ph: (973) 655-1005 |
| NPI Number | 1396832051 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396832051 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MA034121 (New Jersey) | Primary |
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