Individual
DR. NICOLE ANNE SCIVOLETTI-POLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
201 TOMLIN STATION RD STE D, MULLICA HILL, NJ 08062-1612
(856) 853-2025
(856) 845-8024
Mailing address
134 BRIDGETON PIKE, MULLICA HILL, NJ 08062-2616
(856) 507-2783
(856) 221-4138
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MB08768700
NJ
207RP1001X
Pulmonary Disease Physician
Primary
MB08768700
NJ
207RP1001X
Pulmonary Disease Physician
OS016572
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0356662
—
NJ
05
—
102868773001
—
PA
05
—
356662
—
NJ
Enumeration date
03/12/2010
Last updated
12/24/2025
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