Diaz, Rodolfo
Diaz, Rodolfo is an sole proprietor health care provider with primary practice located at 1206 W Sherman Ave Ste 2B , Vineland NJ 08360-6911. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Diaz, Rodolfo can be contacted via phone (856) 696-5510.Contact Information
Primary practice address
1206 W Sherman Ave Ste 2B
Vineland NJ 08360-6911
Phone: (856) 696-5510
Fax: (856) 696-5590
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 25MA04900200 | New Jersey |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 25MA04900200 | New Jersey |
Profile Details
| NPI number | 1851360663 |
|---|---|
| LBN Legal business name | Diaz, Rodolfo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 15th, 2006 |
| Last updated | Mar 24th, 2021 - about 5 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 | 1851360663 | NPPES |
| New Jersey | MEDICAID | 5281300 | |
| New Jersey | Other | P387263 | |
| New Jersey | Other | 01000270500 | |
| New Jersey | Other | 1002541 | |
| New Jersey | Other | 2025389 | |
| New Jersey | Other | HORIZON NJ HEALTH | |
| New Jersey | Other | AMERIHEALTH | |
| New Jersey | Other | 1002541 |
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