Provider Demographics
NPI:1962933663
Name:NOLL, ALAN GREGORY (MD)
Entity type:Individual
Prefix:
First Name:ALAN
Middle Name:GREGORY
Last Name:NOLL
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Gender:M
Credentials:MD
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Mailing Address - Street 1:860 WASHINGTON ST
Mailing Address - Street 2:SOUTH BUILDING 4TH FLOOR
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02111
Mailing Address - Country:US
Mailing Address - Phone:617-636-5592
Mailing Address - Fax:617-636-8617
Practice Address - Street 1:860 WASHINGTON ST
Practice Address - Street 2:SOUTH BUILDING 4TH FLOOR
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111
Practice Address - Country:US
Practice Address - Phone:617-636-5592
Practice Address - Fax:617-636-8617
Is Sole Proprietor?:No
Enumeration Date:2017-03-23
Last Update Date:2025-10-21
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Provider Licenses
StateLicense IDTaxonomies
MA1019190207RG0100X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology