Individual
A. MICHAEL NOVENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 CAREN AVE, SUITE 170, WORTHINGTON, OH 43085-2515
(614) 846-1527
(614) 846-1704
Mailing address
55 CAREN AVE, SUITE 170, WORTHINGTON, OH 43085-2515
(614) 846-1527
(614) 846-1704
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-05-2208
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0664357
—
OH
Enumeration date
12/15/2005
Last updated
03/16/2011
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