Novak, Gordon M

Novak, Gordon M is an individual health care provider with primary practice located at 736 Cambridge St , Brighton MA 02135-2907. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Novak, Gordon M can be contacted via phone (617) 789-2777.

Contact Information

Primary practice address
736 Cambridge St Brighton MA 02135-2907
Phone: (617) 789-2777
Fax: (617) 254-6384
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 154452 Massachusetts
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 154452 Massachusetts

Profile Details

NPI number 1629067319
LBN Legal business name Novak, Gordon M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2005
Last updated Nov 25th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629067319 NPPES
Massachusetts MEDICAID 3180981

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