# DAVID J DIAZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1548474018
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 0420011773 | VT | Yes |
| 207W00000X | Ophthalmology Physician | 250434 | MA | — |

## Other

- **Enumeration date:** 05/10/2007
- **Last updated:** 02/16/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1016570 | — | VT |
| 01 | — | P00755070 | RAILROAD MEDICARE | VT |