Provider Demographics
NPI:1821068115
Name:NOAH, JANE S (MD)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:S
Last Name:NOAH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:15 PARADISE PLZ STE 281
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-6905
Mailing Address - Country:US
Mailing Address - Phone:956-816-8502
Mailing Address - Fax:435-250-3583
Practice Address - Street 1:150 CENTER LN SUITE 150
Practice Address - Street 2:
Practice Address - City:MOUNT LAUREL
Practice Address - State:NJ
Practice Address - Zip Code:08054
Practice Address - Country:US
Practice Address - Phone:956-816-8502
Practice Address - Fax:435-250-3583
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA91961207V00000X
NJMA060966207V00000X
MDD0094195207V00000X
MI4301506502207V00000X
FLME147017207V00000X
PAMD051487L207V00000X
TXT8290207V00000X
NY31502-01207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ549636N5XMedicare PIN
NJF94166Medicare UPIN