| Novella Infusion Llc | |
|
780 Lynnhaven Pkwy Ste 400 Virginia Beach VA 23452-7332 | |
| (603) 836-9869 | |
| (603) 836-0118 |
| Full Name | Novella Infusion Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 780 Lynnhaven Pkwy Ste 400, Virginia Beach, Virginia |
| Authorized Official Name and Position | Joseph Brunink (CEO) |
| Authorized Official Contact | 6165147350 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Novella Infusion Llc 360 Us Highway 1 Byp Unit 102 Portsmouth NH 03801-7105 Ph: () - | Novella Infusion Llc 780 Lynnhaven Pkwy Ste 400 Virginia Beach VA 23452-7332 Ph: (603) 836-9869 |
| NPI Number | 1518746379 |
|---|---|
| Provider Enumeration Date | 09/21/2023 |
| Last Update Date | 09/21/2023 |
| Medicare PECOS PAC ID | 1254742471 |
|---|---|
| Medicare Enrollment ID | O20231012003774 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518746379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Andrew Wagner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215154018 PECOS PAC ID: 5597817957 Enrollment ID: I20171102001366 |
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