Organization
EAR,NOSE AND THROAT SPECIALISTS,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODOLFO DIAZ M.D. (PHYSICIAN)
(856) 696-5510
Entity
Organization
Contact information
Practice address
1206 W SHERMAN AVE STE 2B, VINELAND, NJ 08360-6911
(856) 696-5510
(856) 696-5590
Mailing address
1206 W SHERMAN AVE, SUITE B2, VINELAND, NJ 08360-6916
(856) 696-5510
(856) 696-5590
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
25MA04900200
NJ
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01000270500
AMERICHOICE
NJ
01
—
0466509000
AMERIHEALTH
NJ
01
—
1079307
HORIZON NJ HEALTH
NJ
05
—
5281300
—
NJ
Enumeration date
03/14/2006
Last updated
03/24/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us