Individual
LUIS DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14-01 BROADWAY STE B, FAIR LAWN, NJ 07410-2001
(201) 791-4544
Mailing address
680 KINDERKAMACK RD STE 300, ORADELL, NJ 07649-1600
(305) 781-9994
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA12831900
NJ
207R00000X
Internal Medicine Physician
P12405
NY
Other
Enumeration date
01/20/2019
Last updated
11/10/2025
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