| Novum Health Services Incorporated | |
|
1404 Crain Hwy S Ste 112 Glen Burnie MD 21061-4056 | |
| (240) 682-6288 | |
| Not Available |
| Full Name | Novum Health Services Incorporated |
|---|---|
| Speciality | Clinic/Center |
| Location | 1404 Crain Hwy S Ste 112, Glen Burnie, Maryland |
| Authorized Official Name and Position | Yeside Ojo (CEO) |
| Authorized Official Contact | 2406826288 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Novum Health Services Incorporated 1404 Crain Hwy S Ste 112 Glen Burnie MD 21061-4056 Ph: (443) 698-8250 | Novum Health Services Incorporated 1404 Crain Hwy S Ste 112 Glen Burnie MD 21061-4056 Ph: (240) 682-6288 |
| NPI Number | 1770216871 |
|---|---|
| Provider Enumeration Date | 07/06/2022 |
| Last Update Date | 02/22/2023 |
| Certification Date | 02/22/2023 |
| Medicare PECOS PAC ID | 6204279045 |
|---|---|
| Medicare Enrollment ID | O20240208001049 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770216871 | NPI | - | NPPES |
| Provider Name | Yeside Ojo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760934913 PECOS PAC ID: 6901187780 Enrollment ID: I20170110002642 |
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