Novella Infusion Llc | |
56 W Twin Oaks Ter Ste 7 South Burlington VT 05403-7106 | |
(802) 300-3540 | |
(802) 341-5590 |
Full Name | Novella Infusion Llc |
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Speciality | Internal Medicine |
Location | 56 W Twin Oaks Ter Ste 7, South Burlington, Vermont |
Authorized Official Name and Position | Robert Amory Thorndike (PRESIDENT) |
Authorized Official Contact | 7817245916 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Novella Infusion Llc 1111b S Governors Ave Ste 3887 Dover DE 19904-6903 Ph: () - | Novella Infusion Llc 56 W Twin Oaks Ter Ste 7 South Burlington VT 05403-7106 Ph: (802) 300-3540 |
NPI Number | 1982475406 |
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Provider Enumeration Date | 01/12/2024 |
Last Update Date | 07/15/2024 |
Medicare PECOS PAC ID | 1254742471 |
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Medicare Enrollment ID | O20240202001411 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982475406 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Linda Ann Fasci |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043712342 PECOS PAC ID: 5395084032 Enrollment ID: I20190225002022 |
Provider Name | Andrew Wagner |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1215154018 PECOS PAC ID: 5597817957 Enrollment ID: I20240202001456 |
Provider Name | Leah M Natali |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154994739 PECOS PAC ID: 2961807318 Enrollment ID: I20240212003824 |
Provider Name | Melanie L Del Frari |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609486703 PECOS PAC ID: 6901224104 Enrollment ID: I20240301003185 |
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