Individual
WALLY N NOVERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2375 GARDEN WAY, HERMITAGE, PA 16148
(724) 983-5454
(724) 983-5401
Mailing address
143 HERMITAGE HILLS BLVD, HERMITAGE, PA 16148
(724) 977-2501
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD425454
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012083480001
—
PA
01
—
1687402
HIGHMARK
PA
Enumeration date
09/30/2005
Last updated
07/08/2007
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