Organization
SOUTH JERSEY OBSTETRICS & GYNECOLOGY P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE R. NOLL M.D. (PRESIDENT)
(609) 465-7557
Entity
Organization
Contact information
Practice address
108 MECHANIC ST, CAPE MAY COURT HOUSE, NJ 08210-2224
(609) 465-7557
(609) 465-9383
Mailing address
108 MECHANIC ST, CAPE MAY COURT HOUSE, NJ 08210-2224
(609) 465-7557
(609) 465-9383
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MA036585
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0079462000
AMERIHEALTH PROVIDER #
NJ
01
—
0880008000
AMERIHEALTH GROUP #
NJ
Enumeration date
06/26/2006
Last updated
08/22/2020
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