Healthcare Provider Details

I. General information

NPI: 1730247586
Provider Name (Legal Business Name): DAVID A. NOVER, M.D., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2006
Last Update Date: 09/21/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1432 EASTON RD SUITE 2-C
WARRINGTON PA
18976-2852
US

IV. Provider business mailing address

1432 EASTON RD SUITE 2-C
WARRINGTON PA
18976-2852
US

V. Phone/Fax

Practice location:
  • Phone: 215-491-7579
  • Fax: 215-491-2300
Mailing address:
  • Phone: 215-491-7579
  • Fax: 215-491-2300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID ALLEN NOVER
Title or Position: PRESIDENT
Credential: M.D.
Phone: 215-491-7570