Brian J Novack Dpm

NPI 1316092844 - Podiatrist - 213ES0131X

NPI Details
NPI 1316092844
Enumeration Date 01/24/2007
Last Updated 11/01/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name BRIAN J BRIAN
Position PRESIDENT
Phone (440) 944-6665
Fax (440) 944-6672
Practice Location
29630 EUCLID AVE
WICKLIFFE OH, 44092-1829, US
Phone (440) 944-6665
Fax (440) 944-6672
Business Location
29630 EUCLID AVE
WICKLIFFE OH, 44092-1829, US
Phone (440) 944-6665
Fax (440) 944-6672
Toxanomy
Taxonomy Code 213ES0131X
License State Ohio
License Number 36001391N
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According to our database, Brian J Novack Dpm NPI is 1316092844, taxonomy code is 213ES0131X and license number is 36001391N, license state is located at Ohio. Brian J Novack Dpm physically located at 29630 Euclid Ave, Wickliffe OH, 44092-1829. NPI Number 1033115704 has the healthcare provider type.

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1316092844 NPI number is provided on an as is basis without warranty of any kind. 1316092844 is maintained by the National Plan & Provider Enumeration System. The contents of Brian J Novack Dpm are for informational purposes only.