Individual
DR. DAMIAN ANTONIO DIAZ COTELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11767 S DIXIE HWY, 423, PINECREST, FL 33156-4438
(786) 417-6215
(855) 268-3561
Mailing address
750 BRUNSWICK AVE, TRENTON, NJ 08638-4143
(609) 394-6000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA08604200
NJ
207R00000X
Internal Medicine Physician
ME 105957
FL
208M00000X
Hospitalist Physician
ME 105957
FL
Other
Enumeration date
05/03/2008
Last updated
07/11/2019
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