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Contact Information

GREGORY R NOVOTNY, DO
1175 DEHIRSCH AVE
WOODBINE, NJ08270-2401
 Phone: 609-861-2164
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for GREGORY R NOVOTNY · (Male)

NPI # 1750315198
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/10/2006
Last updated 02/21/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 25MB05370500
  • NJ Medicaid 8060606
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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