Provider Demographics
NPI:1992770226
Name:ROLENC, HOLLY J (MD)
Entity type:Individual
Prefix:DR
First Name:HOLLY
Middle Name:J
Last Name:ROLENC
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:26 HIGHWAY 34 S
Mailing Address - Street 2:SUITE 208
Mailing Address - City:COLTS NECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07722-1737
Mailing Address - Country:US
Mailing Address - Phone:732-683-0099
Mailing Address - Fax:732-683-9503
Practice Address - Street 1:26 HIGHWAY 34 S
Practice Address - Street 2:SUITE 208
Practice Address - City:COLTS NECK
Practice Address - State:NJ
Practice Address - Zip Code:07722-1737
Practice Address - Country:US
Practice Address - Phone:732-683-0099
Practice Address - Fax:732-683-9503
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA07644500208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics