Individual
JOSE EDUARDO DIAZ-JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
380 EGG HARBOR RD, SEWELL, NJ 08080-3152
(856) 589-1151
(856) 589-1554
Mailing address
1812 SHADBUSH CT, WILLIAMSTOWN, NJ 08094-3389
(856) 905-4881
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
25MA06610100
NJ
Other
Enumeration date
06/24/2008
Last updated
06/24/2008
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