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Organization

NOVELLA INFUSION LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEPH BRUNINK (CEO)
(616) 514-7350
Entity
Organization

Contact information

Practice address
780 LYNNHAVEN PKWY STE 400, VIRGINIA BEACH, VA 23452-7332
(603) 836-9869
(603) 836-0118
Mailing address
360 US HIGHWAY 1 BYP UNIT 102, PORTSMOUTH, NH 03801-7105

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
09/21/2023
Last updated
09/21/2023
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