Provider Demographics
NPI:1821277765
Name:EARL L. NOYAN, MD, LLC
Entity Type:Organization
Organization Name:EARL L. NOYAN, MD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EARL
Authorized Official - Middle Name:L
Authorized Official - Last Name:NOYAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-585-2447
Mailing Address - Street 1:445 WHITE HORSE AVE STE 204B
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08610-1408
Mailing Address - Country:US
Mailing Address - Phone:609-585-2447
Mailing Address - Fax:609-585-2667
Practice Address - Street 1:445 WHITE HORSE AVE STE 204B
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08610-1408
Practice Address - Country:US
Practice Address - Phone:609-585-2447
Practice Address - Fax:609-585-2667
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-28
Last Update Date:2007-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0009261Medicaid
NJ0009261Medicaid
NJH97211Medicare UPIN