Organization
NOVELLA INFUSION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT AMORY THORNDIKE (MANAGER)
(781) 724-5916
Entity
Organization
Contact information
Practice address
94 AUBURN ST STE 203, PORTLAND, ME 04103-2100
(207) 747-1181
(207) 800-4548
Mailing address
1111B S GOVERNORS AVE STE 3887, DOVER, DE 19904-6903
(207) 747-1181
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
02/03/2023
Last updated
07/15/2024
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