Individual
CHRISTOPHER DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1233 LOCUST ST, PHILADELPHIA, PA 19107-5453
(215) 985-4448
Mailing address
1233 LOCUST ST, PHILADELPHIA, PA 19107-5453
(215) 985-4448
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA059723
PA
363AM0700X
Medical Physician Assistant
Primary
MA059723
PA
Other
Enumeration date
04/03/2018
Last updated
11/10/2023
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