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Organization

MEDICAL DIAGNOSTIC ASSOCIATES, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMANDA ROSE RITTER (PRACTICE ADMINISTRATOR)
(732) 382-0091
Entity
Organization

Contact information

Practice address
21 COMMERCE DR STE 200, CRANFORD, NJ 07016-3519
(732) 382-0091
(732) 382-8570
Mailing address
21 COMMERCE DR STE 200, CRANFORD, NJ 07016-3519
(732) 382-0091
(732) 382-8570

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
Primary
207RC0000X
Cardiovascular Disease Physician
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
207RG0100X
Gastroenterology Physician
207RI0200X
Infectious Disease Physician
207RN0300X
Nephrology Physician
207RX0202X
Medical Oncology Physician

Other

Enumeration date
06/11/2006
Last updated
10/07/2020
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