Individual
ROBERTO R DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4 BYPASS RD, STE 203, SALEM, NJ 08079
(856) 339-4444
(856) 339-9437
Mailing address
4 BYPASS RD, STE 203, SALEM, NJ 08079
(856) 339-4444
(856) 339-9437
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25MA0310550
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0515302
—
NJ
Enumeration date
08/10/2006
Last updated
09/07/2011
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