Individual
DR. MARTA S. DIAZ-PUPEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MB10292600
NJ
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
C20004567
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001532946
—
PA
05
—
01720552
—
NY
05
—
3312003
—
MD
05
—
6611303
—
NJ
05
—
6709281
—
VA
Enumeration date
09/28/2006
Last updated
06/15/2021
Update your record
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