Healthcare Provider Details

I. General information

NPI: 1417540238
Provider Name (Legal Business Name): NOVA WOMEN'S HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2021
Last Update Date: 04/26/2021
Certification Date: 04/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 MAIN ST STE 3B
NORTH READING MA
01864-2286
US

IV. Provider business mailing address

101 CAMBRIDGE ST STE 160
BURLINGTON MA
01803-3767
US

V. Phone/Fax

Practice location:
  • Phone: 978-664-5979
  • Fax: 978-664-0689
Mailing address:
  • Phone: 781-272-4667
  • Fax: 781-270-4196

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: ANJU NAYAR
Title or Position: PRESIDENT
Credential: MD
Phone: 978-664-5979