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EUGENE J NOWAK DO INC NPI 1750411427


NPI Information

NPI: 1750411427
Provider Name: EUGENE J NOWAK DO INC
Classification: Dermatology - 207ND0900X
Entity Type: Organization

Specialization: Dermatopathology

Address:
2440 FENTON ST.
101
CHULA VISTA, CA
ZIP 91914
Phone: (619) 420-1840
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EUGENE J NOWAK DO INC is a dermatopathology dermatology in Chula Vista, CA. The provider is a dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. EUGENE J NOWAK DO INC NPI is 1750411427. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2440 FENTON ST.
101
CHULA VISTA, CA
ZIP 91914
Phone: (619) 420-1840
Fax: (619) 420-9630

The provider's authorized official is Eugene James Nowak .
The authorized official title is President and has the following contact phone number (619) 420-1840.

The enumeration date for this NPI number is 3/6/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ND0900XDermatologyDermatopathology20A7103CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100AX71030MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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