Active NPIOrganization

Initia Nova Medical Solutions

Internal Medicine, Addiction Medicine in Cherry Hill, New Jersey

NPI Number1215479308
Practice location
1930 Marlton Pike E, Cherry Hill, NJ 08003-2150
Fax
—
Last updated
November 7, 2016

Initia Nova Medical Solutions is a healthcare organization based in Cherry Hill, NJ. Initia Nova Medical Solutions practices in Cherry Hill, NJ. The NPI Number for Initia Nova Medical Solutions is 1215479308 and holds a License No. 25MB08239800 (NJ). The current practice location address for Initia Nova Medical Solutions is 1930 Marlton Pike E, Cherry Hill, NJ 08003-2150 and can be reached out via phone at 856-446-6961.

Provider Profile Details

NPI Number
1215479308
Provider Name
Initia Nova Medical Solutions
Provider Entity Type
Organization
Address
1930 Marlton Pike E, Cherry Hill, NJ 08003-2150
Phone Number
856-446-6961
Primary Taxonomy
Internal Medicine, Addiction Medicine · 207RA0401X
Organization Subpart
No
Authorized Official
Dr. Patrick O Sullivan, DO · Owner · 856-625-8563
Provider Enumeration Date
November 7, 2016
Last Update Date
November 7, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
1930 Marlton Pike E
Cherry Hill, NJ 08003-2150
Zip
08003-2150
Phone Number
856-446-6961
Cherry Hill, NJ 08003Get directions →

Provider Business Mailing Address Details

Address
1930 Marlton Pike E
Cherry Hill, NJ 08003-2150
City
Cherry Hill
State
NJ
Zip
08003-2150
Phone Number
856-446-6961

License Information

License Number
25MB08239800
License State
NJ
Taxonomy
Internal Medicine, Addiction Medicine · 207RA0401X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Initia Nova Medical Solutions?

The NPI number of Initia Nova Medical Solutions is 1215479308. It was assigned on November 7, 2016 and is currently active in the NPPES registry.

What is the specialty of Initia Nova Medical Solutions?

Initia Nova Medical Solutions is registered under the primary taxonomy Internal Medicine, Addiction Medicine (code 207RA0401X), licensed in NJ under license number 25MB08239800.

Where does Initia Nova Medical Solutions practice?

The practice location is 1930 Marlton Pike E, Cherry Hill, NJ 08003-2150. The office can be reached at 856-446-6961 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215479308 directly on the NPPES registry website.

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