Diaz, Joseph A.
Diaz, Joseph A. is an individual health care provider with primary practice located at 111 Brewster St Department Of Internal Medicine, Pawtucket RI 02860-4400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Diaz, Joseph A. can be contacted via phone (401) 729-3100.Contact Information
Primary practice address
111 Brewster St Department Of Internal Medicine
Pawtucket RI 02860-4400
Phone: (401) 729-3100
Fax: (401) 729-2054
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD10665 | Rhode Island |
Profile Details
| NPI number | 1356324248 |
|---|---|
| LBN Legal business name | Diaz, Joseph A. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 23rd, 2005 |
| Last updated | Apr 9th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356324248 | NPPES |
| Rhode Island | Other | 007060965 | MEDICARE PTAN |
| Rhode Island | MEDICAID | 9023606 | MEDICARE PTAN |
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