Healthcare Provider Details

I. General information

NPI: 1497364376
Provider Name (Legal Business Name): NOVELLA INFUSION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2020
Last Update Date: 09/16/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

297 DANIEL WEBSTER HWY STE 2
MERRIMACK NH
03054-4451
US

IV. Provider business mailing address

1111B S GOVERNORS AVE STE 3887
DOVER DE
19904-6903
US

V. Phone/Fax

Practice location:
  • Phone: 603-836-9869
  • Fax:
Mailing address:
  • Phone: 603-319-6224
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ROBERT AMORY THORNDIKE
Title or Position: MANAGER
Credential:
Phone: 781-724-5916