Healthcare Provider Details

I. General information

NPI: 1235991332
Provider Name (Legal Business Name): NOVA MEDICAL GROUP PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2024
Last Update Date: 08/28/2024
Certification Date: 08/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 N BEDFORD ST
EAST BRIDGEWATER MA
02333-1147
US

IV. Provider business mailing address

401 N BEDFORD ST
EAST BRIDGEWATER MA
02333-1147
US

V. Phone/Fax

Practice location:
  • Phone: 781-527-5310
  • Fax:
Mailing address:
  • Phone: 781-527-5310
  • Fax: 781-375-3146

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. AKASH D PATEL
Title or Position: PRESIDENT
Credential: MD
Phone: 919-500-9326