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Organization
WILLIAM J. NOVELLI, JR., MD, PA
Active
Organization
WILLIAM J. NOVELLI, JR., MD, PA
Active
Other names
Wellfast Health
Organization subpart
No
Provider details
NPI number
Authorized official
BEN JOHNSON JR. (MANAGER)
(409) 722-9355
Entity
Organization
Contact information
Practice address
1509 S HIGHWAY 69, NEDERLAND, TX 77627-7807
(409) 722-9355
(409) 420-1002
Mailing address
1509 S HWY 69, NEDERLAND, TX 77627
(409) 722-9355
(409) 420-1002
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
F9887
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167908601
—
TX
Enumeration date
02/12/2007
Last updated
06/04/2014
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