Healthcare Provider Details

I. General information

NPI: 1215901293
Provider Name (Legal Business Name): ROCHELLE MARIE NOLTE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 02/15/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MUNRO DR
CAPE MAY NJ
08204-5000
US

IV. Provider business mailing address

115 E RICHMOND AVE
WILDWOOD CREST NJ
08260-3362
US

V. Phone/Fax

Practice location:
  • Phone: 609-898-6729
  • Fax: 609-898-6962
Mailing address:
  • Phone: 240-447-2415
  • Fax: 609-898-6962

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number0101056076
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: