Individual
DIEGO URDANETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
230 N BROAD ST, PHILADELPHIA, PA 19102-1121
(215) 762-7000
Mailing address
700 MULLICA HILL RD, MULLICA HILL, NJ 08062-4413
(856) 508-1000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA11091000
NJ
207R00000X
Internal Medicine Physician
MT214037
PA
Other
Enumeration date
06/10/2017
Last updated
05/28/2025
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