Individual
MARANGELY DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
817 FEDERAL ST, CAMDEN, NJ 08103-1539
(856) 602-4703
(856) 541-3340
Mailing address
817 FEDERAL ST, SUITE 300, CAMDEN, NJ 08103-1539
(856) 602-4703
(856) 541-3340
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00427300
NJ
363LA2200X
Adult Health Nurse Practitioner
26NR15710400
NJ
Other
Enumeration date
04/29/2013
Last updated
04/29/2013
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