Provider Demographics
NPI:1497993281
Name:NOWAK, MAGDALENA JOANNA (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:MAGDALENA
Middle Name:JOANNA
Last Name:NOWAK
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:TRINITY HEALTH OF NE MED GRP - ATTN: PGREANEY
Mailing Address - Street 2:395 SOUTHAMPTON RD., #100
Mailing Address - City:WESTFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01085-1324
Mailing Address - Country:US
Mailing Address - Phone:413-485-4663
Mailing Address - Fax:413-562-1605
Practice Address - Street 1:77 BOYLSTON ST
Practice Address - Street 2:HAMPDEN COUNTY PHYSICIAN ASSOCIATES, LLC
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01104-3323
Practice Address - Country:US
Practice Address - Phone:413-734-8254
Practice Address - Fax:413-747-5870
Is Sole Proprietor?:No
Enumeration Date:2009-02-02
Last Update Date:2022-03-15
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Provider Licenses
StateLicense IDTaxonomies
MAPENDING363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant