Organization
NOVA OCCUPATIONAL HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADHUSUDAN PANTHI (ACCOUNT MANAGER)
(703) 468-0150
Entity
Organization
Contact information
Practice address
8714 SUDLEY RD, MANASSAS, VA 20110-4405
(703) 468-0150
(703) 361-0346
Mailing address
8714 SUDLEY RD, MANASSAS, VA 20110-4405
(703) 468-0150
(703) 361-0346
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101048836
VA
2083X0100X
Occupational Medicine Physician
Primary
0101057543
VA
Other
Enumeration date
06/22/2012
Last updated
06/22/2012
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