Provider Demographics
NPI:1730371147
Name:NOWIK, BARBARA (RPA)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:
Last Name:NOWIK
Suffix:
Gender:F
Credentials:RPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1844 COMMONWEALTH AVE
Mailing Address - Street 2:APT 11
Mailing Address - City:BRIGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02135-5525
Mailing Address - Country:US
Mailing Address - Phone:617-734-7021
Mailing Address - Fax:
Practice Address - Street 1:1844 COMMONWEALTH AVE
Practice Address - Street 2:APT 11
Practice Address - City:BRIGHTON
Practice Address - State:MA
Practice Address - Zip Code:02135-5525
Practice Address - Country:US
Practice Address - Phone:617-734-7021
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-10
Last Update Date:2009-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA08286247100000X, 243U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes243U00000XTechnologists, Technicians & Other Technical Service ProvidersRadiology Practitioner Assistant
No247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic Technologist