Active NPIIndividual provider

Elizabeth Nowak, MD

Family Medicine, Geriatric Medicine in Mattapan, Massachusetts

NPI Number1871606426
Practice location
1135 Morton St, Elder Service Plan, Mattapan, MA 02126-2834
Fax
617-533-2401
Last updated
August 30, 2012

Elizabeth Nowak is a Family Medicine, Geriatric Medicine based in Mattapan, MA. Elizabeth Nowak practices in Mattapan, MA and has the professional credentials of MD. The NPI Number for Elizabeth Nowak is 1871606426 and holds a License No. 244481 (MA). The current practice location address for Elizabeth Nowak is 1135 Morton St, Elder Service Plan, Mattapan, MA 02126-2834 and can be reached out via phone at 617-533-2400 and via fax at 617-533-2401.

Provider Profile Details

NPI Number
1871606426
Provider Name
Elizabeth Nowak
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1135 Morton St, Elder Service Plan, Mattapan, MA 02126-2834
Phone Number
617-533-2400
Fax Number
617-533-2401
Primary Taxonomy
Family Medicine, Geriatric Medicine · 207QG0300X
Sole Proprietor
No
Provider Enumeration Date
August 17, 2006
Last Update Date
August 30, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
1135 Morton St
Elder Service Plan
Mattapan, MA 02126-2834
Zip
02126-2834
Phone Number
617-533-2400
Fax Number
617-533-2401
Mattapan, MA 02126Get directions →

Provider Business Mailing Address Details

Address
1135 Morton St
Elder Service Plan
Mattapan, MA 02126-2834
City
Mattapan
State
MA
Zip
02126-2834
Phone Number
617-533-2300

License Information

License Number
244481
License State
MA
Taxonomy
Family Medicine, Geriatric Medicine · 207QG0300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Elizabeth Nowak, MD?

The NPI number of Elizabeth Nowak, MD is 1871606426. It was assigned on August 17, 2006 and is currently active in the NPPES registry.

What is the specialty of Elizabeth Nowak, MD?

Elizabeth Nowak, MD is registered under the primary taxonomy Family Medicine, Geriatric Medicine (code 207QG0300X), licensed in MA under license number 244481.

Where does Elizabeth Nowak, MD practice?

The practice location is 1135 Morton St, Elder Service Plan, Mattapan, MA 02126-2834. The office can be reached at 617-533-2400 (phone) or 617-533-2401 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1871606426 directly on the NPPES registry website.

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