Individual
DR. MARIA CARMEN G. DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 ROCKLAND ROAD, NEMOURS/DUPONT HOSPITAL FOR CHILDREN, WILMINGTON, DE 19803-3607
(302) 651-4000
(302) 651-4945
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPT, ROCKLAND, DE 19732-0191
(302) 651-1400
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
C10007279
DE
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
C10007279
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0033812
—
NJ
05
—
02656288
—
NY
05
—
101141605
—
PA
05
—
4050649
—
MD
05
—
Q07279
—
SC
Enumeration date
09/28/2006
Last updated
01/06/2012
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