Organization
NOVUS PENNSYLVANIA PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSHUA POOLE (PRESIDENT)
(404) 285-8388
Entity
Organization
Contact information
Practice address
600 SOMERSET AVE, WINDBER, PA 15963-1331
(814) 467-3000
Mailing address
620 PEACHTREE ST NE STE 311, ATLANTA, GA 30308-2355
(888) 228-5798
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
06/19/2023
Last updated
01/29/2025
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