Organization
PEDIATRIC MEDICAL GROUP OF CENTRAL JERSEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LIONEL DIAZ FOZ MD (PRESIDENT)
(732) 458-1177
Entity
Organization
Contact information
Practice address
525 JACK MARTIN BLVD, SUITE 102, BRICK, NJ 08724
(732) 458-1177
(732) 458-5942
Mailing address
525 JACK MARTIN BOULEVARD, SUITE 102, BRICK, NJ 08724
(732) 458-1177
(732) 458-5942
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
09/06/2006
Last updated
08/22/2020
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