Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 53800 | CT |
N | 207RC0001X | Clinical Cardiac Electrophysiologist | 53800 | CT |
NPI | 1225270036 |
---|---|
Provider Name | Dr. John Anthony Novella |
First Address | Westport, CT 06880-4700 |
Second Address | Norwalk, CT 06851-4647 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2009 |
Last Update Date | 24/06/2015 |