Scivoletti-Polan, Nicole Anne

Scivoletti-Polan, Nicole Anne is an individual health care provider with primary practice located at 201 Tomlin Station Rd Ste D , Mullica Hill NJ 08062-1612. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is her primary health care specialty. Scivoletti-Polan, Nicole Anne can be contacted via phone (856) 853-2025.

Contact Information

Primary practice address
201 Tomlin Station Rd Ste D Mullica Hill NJ 08062-1612
Phone: (856) 853-2025
Fax: (856) 845-8024
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X MB08768700 New Jersey
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X MB08768700 New Jersey
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X OS016572 Pennsylvania

Profile Details

NPI number 1699098095
LBN Legal business name Scivoletti-Polan, Nicole Anne
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2010
Last updated Dec 24th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699098095 NPPES
Pennsylvania MEDICAID 102868773001
Pennsylvania MEDICAID 356662
Pennsylvania MEDICAID 0356662

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