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1457351793

NPI Code Detail

MEDICARE: DR. DAVID NOCHLIN MD

MEDICARE: DR. DAVID NOCHLIN MD

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
1	207ZN0500X	Neuropathology Physician	MD0002609	WA
2	207ZN0500X	Neuropathology Physician	25MA07966400	NJ
3	207ZN0500X	Neuropathology Physician	101030965	VA
4	207ZN0500X	Neuropathology Physician	143531	NY
5	2084N0400X	Neurology Physician	MD0002609	WA

General Provider Information

NPI Number	:	1457351793
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID NOCHLIN MD

Provider Business Mailing Address
First Line	:	65 JAMES ST
Second Line	:	NJ NEUROSCIENCE INSTITUTE JFK
City	:	EDISON
State	:	NJ
Zip	:	08820-3947
Country	:	US
Telephone Number	:	732-321-7000
Fax Number	:	732-205-1477

Provider Business Practice Location Address
First Line	:	65 JAMES ST
Second Line	:	NJ NEUROSCIENCE INSTITUTE JFK
City	:	EDISON
State	:	NJ
Zip	:	08820-3947
Country	:	US
Telephone Number	:	732-321-7000
Fax Number	:	732-205-1477

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2005
Last Update Date	:	06/25/2010

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Directions to “ DR. DAVID NOCHLIN MD” Practice Location

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