Individual
ROY DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16 ROOSEVELT BLVD, MARMORA, NJ 08223-1402
(609) 272-0909
(609) 272-0157
Mailing address
6550 DELILAH RD STE 301, EGG HARBOR TOWNSHIP, NJ 08234-5102
(609) 272-8580
(609) 383-2868
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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