Doctor Name: | MS. DIANE STOLLER |
NPI Number: | 1285946012 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N. |
License Number: | 61538 |
Business Practice Address: | 336 W Passaic St 2nd Fl Rochelle Park, NJ - 076623027 |
Business Phone Number: | 2018457030 |
Business Fax Number: | 2018450899 |
Mailing Address: | 336 W Passaic St, 2nd Fl ROCHELLE PARK |
State: | NJ |
Postal Code: | 076623027 |
Phone Number: | 2018457030 |
Fax Number: | 2018450899 |
NPI Enumeration Date: | 07/09/2010 |
NPI Last Update Date: | 07/09/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC0400X |
License Number: | 61538 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Case Management |
Taxonomy Definition: |