# MEDICAL DIAGNOSTIC ASSOCIATES, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487696886
- **Authorized official:** AMANDA ROSE RITTER (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (732) 382-0091

## Contact information

- **Practice address:** 21 COMMERCE DR STE 200, CRANFORD, NJ 07016-3519
- **Practice address phone:** (732) 382-0091
- **Practice address fax:** (732) 382-8570
- **Mailing address:** 21 COMMERCE DR STE 200, CRANFORD, NJ 07016-3519
- **Mailing address phone:** (732) 382-0091
- **Mailing address fax:** (732) 382-8570

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 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