Provider Demographics
NPI:1205844453
Name:NOORILY, STUART W (MD)
Entity Type:Individual
Prefix:DR
First Name:STUART
Middle Name:W
Last Name:NOORILY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 GALLOPING HILL RD STE 305
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-7991
Mailing Address - Country:US
Mailing Address - Phone:908-458-8333
Mailing Address - Fax:908-458-8339
Practice Address - Street 1:1000 GALLOPING HILL RD STE 305
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-7991
Practice Address - Country:US
Practice Address - Phone:908-458-8333
Practice Address - Fax:908-458-8339
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2017-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ59655207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJF42298Medicare UPIN