Organization
R DIAZ MD LLC
Active
Organization
R DIAZ MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERTO R DIAZ M.D. (MEDICAL DOCTOR)
(865) 339-4444
Entity
Organization
Contact information
Practice address
4 BY PASS RD, SUITE 203, SALEM, NJ 08079-2053
(856) 339-4444
Mailing address
4 BY PASS RD, SUITE 203, SALEM, NJ 08079-2053
(856) 339-4444
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25MA0310550
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0515302
—
NJ
Enumeration date
05/04/2007
Last updated
01/23/2013
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