| NPI | 1295703437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODOLFO DIAZ Physician 856-696-5510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ 25MA04900200) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2021-03-24 |