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Organization
NOVA MEDICAL SERVICES
Active
Organization
NOVA MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN ANTHONY KENNY M.D. (MEDICAL DIRECTOR)
(617) 479-6333
Entity
Organization
Contact information
Practice address
1261 FURNACE BROOK PKWY, SUITE 22, QUINCY, MA 02169-4721
(617) 479-6333
Mailing address
1261 FURNACE BROOK PKWY, SUITE 22, QUINCY, MA 02169-4721
(617) 479-6333
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
82051
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9787011
—
MA
Enumeration date
07/14/2008
Last updated
07/14/2008
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