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Contact Information

EUGENE J NOWAK DO INC
2440 FENTON ST.
101
CHULA VISTA, CA91914
 Phone: 619-420-1840
 Fax: 619-420-9630
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatopathology

207ND0900X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for EUGENE J NOWAK DO INC

NPI # 1750411427
LBN Legal business name EUGENE J NOWAK DO INC
Authorized official EUGENE NOWAK - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/06/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
CA License # 20A7103
CA Medicaid 00AX71030
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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