Provider Demographics
NPI:1811903958
Name:NOVABILSKI, BERNARD ANTHONY (DPM)
Entity type:Individual
Prefix:DR
First Name:BERNARD
Middle Name:ANTHONY
Last Name:NOVABILSKI
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
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Mailing Address - Street 1:3866 JAMIE CT
Mailing Address - Street 2:
Mailing Address - City:COLLEGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19426-1251
Mailing Address - Country:US
Mailing Address - Phone:610-409-2786
Mailing Address - Fax:610-631-3338
Practice Address - Street 1:3125 RIDGE PIKE
Practice Address - Street 2:SUITE B
Practice Address - City:EAGLEVILLE
Practice Address - State:PA
Practice Address - Zip Code:19403-1407
Practice Address - Country:US
Practice Address - Phone:610-631-3338
Practice Address - Fax:610-631-0313
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PASC004124L213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery