MEDICARE: DAVID J NOVAK MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	0101057157	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568483394
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID J NOVAK MD

Provider Business Mailing Address
First Line	:	PO BOX 75420
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21275-5420
Country	:	US
Telephone Number	:	703-383-6469
Fax Number	:

Provider Business Practice Location Address
First Line	:	3620 JOSEPH SIEWICK DR
Second Line	:	SUITE 100
City	:	FAIRFAX
State	:	VA
Zip	:	22033-1757
Country	:	US
Telephone Number	:	703-810-5223
Fax Number	:	703-810-5403

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2006
Last Update Date	:	06/29/2015

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Directions to “ DAVID J NOVAK MD” Practice Location

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