Provider Demographics
NPI:1447310784
Name:NOYAN, EARL LINCOLN
Entity type:Individual
Prefix:DR
First Name:EARL
Middle Name:LINCOLN
Last Name:NOYAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:445 WHITE HORSE AVE
Mailing Address - Street 2:SUITE 204B
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
Practice Address - Street 2:SUITE 204B
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
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-09
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07642900208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ074727U6CMedicare PIN
NJH97211Medicare UPIN