Individual
CHRISTOPHER SAMUEL DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(646) 710-0815
Mailing address
207 E PASSAIC AVE FL 1, BLOOMFIELD, NJ 07003-3832
(646) 710-0815
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/04/2025
Last updated
06/05/2025
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