Diaz, Jose F

Diaz, Jose F is an individual health care provider with primary practice located at 20 Magnolia Ave Ste D, Bridgetown NJ 08302. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Diaz, Jose F can be contacted via phone (856) 455-5770.

Contact Information

Primary practice address
20 Magnolia Ave Ste D Bridgetown NJ 08302
Fax: (856) 453-8458
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X MA56920 New Jersey

Profile Details

NPI number 1467528299
LBN Legal business name Diaz, Jose F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 24th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467528299 NPPES
New Jersey MEDICAID 5071500

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