Provider Demographics
NPI:1457332223
Name:NOWAK, ANNE K (MD)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:K
Last Name:NOWAK
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1300 PICCARD DR
Mailing Address - Street 2:SUITE 202
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-4303
Mailing Address - Country:US
Mailing Address - Phone:301-921-7900
Mailing Address - Fax:301-921-7915
Practice Address - Street 1:4320 SEMINARY RD
Practice Address - Street 2:ALEXANDRIA HOSPITAL
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22304-1535
Practice Address - Country:US
Practice Address - Phone:703-504-3066
Practice Address - Fax:703-504-3866
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-09
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
VA0101224137207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD006128E14Medicare ID - Type Unspecified
E82065Medicare UPIN
VA006128E14Medicare ID - Type Unspecified