Individual
MR. JOSE F DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 MAGNOLIA AVE, STE D, BRIDGETOWN, NJ 08302
(856) 455-5770
(856) 453-8458
Mailing address
20 MAGNOLIA AVE, STE D, BRIDGETOWN, NJ 08302
(856) 455-5770
(856) 453-8458
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MA56920
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5071500
—
NJ
Enumeration date
11/24/2006
Last updated
07/08/2007
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