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Organization
MEDICAL DIAGNOSTIC ASSOCIATES, PA
Active
Organization
MEDICAL DIAGNOSTIC ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA ROSE RITTER (PRACTICE ADMINISTRATOR)
(732) 382-0091
Entity
Organization
Contact information
Practice address
21 COMMERCE DR STE 200, CRANFORD, NJ 07016-3519
(732) 382-0091
(732) 382-8570
Mailing address
21 COMMERCE DR STE 200, CRANFORD, NJ 07016-3519
(732) 382-0091
(732) 382-8570
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
NULL
207RC0000X
Cardiovascular Disease Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
NULL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0100X
Gastroenterology Physician
—
NULL
207RG0100X
Gastroenterology Physician
—
—
207RI0200X
Infectious Disease Physician
—
NULL
207RI0200X
Infectious Disease Physician
—
—
207RN0300X
Nephrology Physician
—
NULL
207RN0300X
Nephrology Physician
—
—
207RX0202X
Medical Oncology Physician
—
NULL
207RX0202X
Medical Oncology Physician
—
—
Other
Enumeration date
06/11/2006
Last updated
10/07/2020
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