# INITIA NOVA MEDICAL SOLUTIONS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215479308
- **Authorized official:** DR. PATRICK O SULLIVAN D.O. (OWNER)
- **Authorized official phone:** (856) 625-8563

## Contact information

- **Practice address:** 1930 MARLTON PIKE E, CHERRY HILL, NJ 08003-2150
- **Practice address phone:** (856) 446-6961
- **Mailing address:** 1930 MARLTON PIKE E, CHERRY HILL, NJ 08003-2150
- **Mailing address phone:** (856) 446-6961

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | 25MB08239800 | NJ | Yes |

## Other

- **Enumeration date:** 11/07/2016
- **Last updated:** 11/07/2016