Laura M Diaz, MD | |
346 South Ave, Fanwood, NJ 07023-1373 | |
(908) 889-8687 | |
Not Available |
Full Name | Laura M Diaz |
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Gender | Female |
Speciality | Pediatrics |
Location | 346 South Ave, Fanwood, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720593288 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 25MA10311600 (New Jersey) | Primary |
Entity Name | Rutgers Health-rwj Pediatric Emergency Faculty |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346322732 PECOS PAC ID: 8820984693 Enrollment ID: O20040227000029 |
Entity Name | Rutgers Health-rwj Pediatric Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518901768 PECOS PAC ID: 3779472196 Enrollment ID: O20041222000072 |
Entity Name | Rutgers Health Rwj Primary Care Institute |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497867410 PECOS PAC ID: 9032158761 Enrollment ID: O20050502000678 |
Entity Name | Rwjbh Observation Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760095806 PECOS PAC ID: 5193137503 Enrollment ID: O20201209000008 |
Entity Name | Rwjbh Emergency Medicine Associates, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912510041 PECOS PAC ID: 0941612840 Enrollment ID: O20201217002547 |
Mailing Address | Practice Location Address |
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Laura M Diaz, MD 346 South Ave, Fanwood, NJ 07023-1373 Ph: (908) 889-8687 | Laura M Diaz, MD 346 South Ave, Fanwood, NJ 07023-1373 Ph: (908) 889-8687 |