Individual
DR. TIMOTHY JAMES NOVOSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1725 NEW HANOVER MEDICAL PARK DR, WILMINGTON, NC 28403-5345
(910) 662-9300
(910) 662-2401
Mailing address
PO BOX 936857, ATLANTA, GA 31193-6857
(910) 662-9300
(910) 662-2401
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0101232753
VA
208600000X
Surgery Physician
2018-01072
NC
2086S0102X
Surgical Critical Care Physician
0101232753
VA
2086S0102X
Surgical Critical Care Physician
Primary
2018-01072
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-019
TRICARE/CHAMPUS
VA
01
—
10012521
SENTARA OPTIMA
VA
01
—
2018-01072
MEDICAL LICENSE
NC
01
—
221095
ANTHEM
VA
01
—
PAR
VIRGINIA HEALTH NETWORK
VA
Enumeration date
08/21/2006
Last updated
05/26/2021
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