Organization
NOVELLA INFUSION LLC
Active
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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