Individual
JOHN P. NOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1600 HADDON AVE RM 122, CAMDEN, NJ 08103-3101
(856) 757-3872
(856) 365-4010
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 757-3872
(856) 365-4010
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MB04857900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
048137000
AMERIHEALTH / KEYSTONE
—
01
—
0936901001
CIGNA
—
01
—
1092796
HORIZON NJ HEALTH
NJ
05
—
1617206
—
NJ
01
—
222445694
TAX ID
NJ
01
—
250002698
RAILROAD MEDICARE
NJ
01
—
2K7019
HEALTHNET
—
01
—
4223926
AETNA
—
01
—
586404
INDEPENDENCE BCBS
—
01
—
732400
AMERICAID
NJ
Enumeration date
06/14/2006
Last updated
05/13/2026
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