Individual
DONALD R NOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
42 E LAUREL RD STE 1800, STRATFORD, NJ 08084-1338
(856) 566-6843
(856) 566-6419
Mailing address
42 E LAUREL RD STE 1800, STRATFORD, NJ 08084-1338
(856) 566-6843
(856) 566-6419
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MB05445900
NJ
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
25MB05445900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0225967
—
NJ
Enumeration date
08/25/2005
Last updated
03/15/2024
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