| Diabetes & Endocrinology Associates Of South Jersey | |
|
1676 E Landis Ave Vineland NJ 08361-2943 | |
| (856) 262-4681 | |
| (856) 262-2376 |
| Full Name | Diabetes & Endocrinology Associates Of South Jersey |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 1676 E Landis Ave, Vineland, New Jersey |
| Authorized Official Name and Position | Rishi K Rastogi (PRESIDENT) |
| Authorized Official Contact | 8562624681 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diabetes & Endocrinology Associates Of South Jersey 512 Stockton Dr Williamstown NJ 08094-1984 Ph: (856) 262-4681 | Diabetes & Endocrinology Associates Of South Jersey 1676 E Landis Ave Vineland NJ 08361-2943 Ph: (856) 262-4681 |
| NPI Number | 1902011869 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902011869 | NPI | - | NPPES |
| 7520301 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | MA058973 (New Jersey) | Primary |
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