Provider Demographics
NPI:1134329865
Name:NOLTE, CHARLES H (DO)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:H
Last Name:NOLTE
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:18 E LAUREL RD
Mailing Address - Street 2:DEPARTMENT OF EMERGENCY MEDICINE
Mailing Address - City:STRATFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08084-1327
Mailing Address - Country:US
Mailing Address - Phone:856-346-1985
Mailing Address - Fax:856-346-6573
Practice Address - Street 1:18 E LAUREL RD
Practice Address - Street 2:DEPARTMENT OF EMERGENCY MEDICINE
Practice Address - City:STRATFORD
Practice Address - State:NJ
Practice Address - Zip Code:08084-1327
Practice Address - Country:US
Practice Address - Phone:856-346-1985
Practice Address - Fax:856-346-6573
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-20
Last Update Date:2017-03-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MB08503100207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine