Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QS0010X | Family Doctor - Sports Medicine | 0101056076 | VA |
NPI | 1215901293 |
---|---|
Provider Name | Dr. Rochelle Marie Nolte |
First Address | Wildwood Crest, NJ 08260-3362 |
Second Address | Cape May, NJ 08204-5000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2006 |
Last Update Date | 08/07/2007 |