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Individual

DR. ROBERT K NOLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
30 MEDICAL CENTER BLVD, SUITE 205, CHESTER, PA 19013-3955
(610) 619-7410
(610) 876-8483
Mailing address
1350 EDGMONT AVE, STE 1500, CHESTER, PA 19013-3962
(610) 619-7410
(610) 876-8483

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD433330
PA
208D00000X
General Practice Physician
MD433330
PA
208M00000X
Hospitalist Physician
MD433330
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102074276
PA
05
4141776
MD
05
8730806
NJ
Enumeration date
07/18/2006
Last updated
09/13/2018
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