| Diabetes & Endocrinology Assocites Of South Jersey | |
|
2815 E Chestnut Ave Vineland NJ 08361-8466 | |
| (856) 262-4681 | |
| (856) 262-2376 |
| Full Name | Diabetes & Endocrinology Assocites Of South Jersey |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 2815 E Chestnut 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 Assocites Of South Jersey 512 Stockton Dr Williamstown NJ 08094-1984 Ph: (856) 262-4681 | Diabetes & Endocrinology Assocites Of South Jersey 2815 E Chestnut Ave Vineland NJ 08361-8466 Ph: (856) 262-4681 |
| NPI Number | 1457477093 |
|---|---|
| Provider Enumeration Date | 03/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457477093 | NPI | - | NPPES |
| 7520301 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
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