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NPI Code Detail

MEDICARE: DR. DANIELLE CHRISTINE NOLL AU.D.

MEDICARE: DR. DANIELLE CHRISTINE NOLL AU.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1231H00000XAudiologist

General Provider Information

NPI Number : 1023680998
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIELLE CHRISTINE NOLL AU.D.
Provider Business Mailing Address
First Line : 72 MAIN AVE
Second Line :
City : WALLINGTON
State : NJ
Zip : 07057-1136
Country : US
Telephone Number : 551-486-8156
Fax Number :
Provider Business Practice Location Address
First Line : 36 NEWARK AVE STE 130
Second Line :
City : BELLEVILLE
State : NJ
Zip : 07109-4120
Country : US
Telephone Number : 973-528-2690
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2021
Last Update Date : 07/12/2021

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