Organization
NOVA OCCUPATIONAL HEALTH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADHUSUDAN PANTHI (OFFICE MANAGER)
(703) 485-2000
Entity
Organization
Contact information
Practice address
8551 RIXLEW LANE, SUITE 140, MANASSAS, VA 20109-4278
(703) 738-9994
(703) 361-0346
Mailing address
P.O. BOX 2041, MANASSAS, VA 20108-0815
(703) 485-2000
Taxonomy
Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
—
—
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
02/09/2017
Last updated
07/18/2022
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