Diaz-Pupek, Marta S.

Diaz-Pupek, Marta S. is an individual health care provider with primary practice located at 201 Mullica Hill Rd , Glassboro NJ 08028-1702. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Diaz-Pupek, Marta S. can be contacted via phone (856) 256-4333.

Contact Information

Primary practice address
201 Mullica Hill Rd Glassboro NJ 08028-1702
Phone: (856) 256-4333
Fax: (856) 256-5642
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X C20004567 Delaware
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MB10292600 New Jersey

Profile Details

NPI number 1891886214
LBN Legal business name Diaz-Pupek, Marta S.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Jun 15th, 2021 - about 3 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 1891886214 NPPES
New Jersey MEDICAID 6611303
New Jersey MEDICAID 6709281
New Jersey MEDICAID 01720552
New Jersey MEDICAID 3312003
New Jersey MEDICAID 001532946

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