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MR. JOSE F DIAZ MD

>> Urology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1467528299

Individual Registrant:
MR. JOSE F DIAZ MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
20 MAGNOLIA AVE STE D BRIDGETOWN, NJ 08302 US
Tel: 856-455-5770  Fax: 856-453-8458

Contact information for business:
20 MAGNOLIA AVE STE D BRIDGETOWN, NJ 08302 US
Tel: 856-455-5770  Fax: 856-453-8458

Registration Information:
NPI: 1467528299
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208800000XAllopathic & Osteopathic Physicians
Urology
NJMA56920

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
5071500NJ05




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