Individual
DIANA T NOLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A., C.
Contact information
Practice address
737 MAIN ST, SUITE 6, LUMBERTON, NJ 08048-3089
(609) 267-9400
(609) 518-1868
Mailing address
737 MAIN ST, SUITE 6, LUMBERTON, NJ 08048-3089
(609) 267-9400
(609) 518-1868
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MP144
NJ
Other
Enumeration date
05/26/2006
Last updated
07/15/2010
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