Individual
DR. VASILIOS THEODOROS DIAMANTOPOULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1018 BOYNTON AVE, WESTFIELD, NJ 07090-1692
(908) 518-1593
(973) 989-3092
Mailing address
1018 BOYNTON AVE, WESTFIELD, NJ 07090-1692
(908) 518-1593
(973) 989-3092
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA06113100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7046502
—
NJ
Enumeration date
10/03/2006
Last updated
11/16/2007
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