| Roberto R Diaz, MD | |
|
4 Bypass Rd, Ste 203, Salem, NJ 08079 | |
| (856) 339-4444 | |
| (856) 339-9437 |
| Full Name | Roberto R Diaz |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Cardiovascular Disease |
| Location | 4 Bypass Rd, Salem, 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 |
|---|---|---|---|
| 1912918400 | NPI | - | NPPES |
| 0515302 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 25MA0310550 (New Jersey) | Primary |
| Entity Name | Salem Physician Practices Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245705128 PECOS PAC ID: 3476892050 Enrollment ID: O20190226000892 |
| Mailing Address | Practice Location Address |
|---|---|
| Roberto R Diaz, MD 4 Bypass Rd, Ste 203, Salem, NJ 08079 Ph: (856) 339-4444 | Roberto R Diaz, MD 4 Bypass Rd, Ste 203, Salem, NJ 08079 Ph: (856) 339-4444 |
Kelly Wyatt, Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 4 Bypass Rd Ste 104, Salem, NJ 08079 Phone: 610-619-7460 | |
Dr. Denis A Tavani, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 309 Route 45, Salem, NJ 08079 Phone: 856-935-0567 Fax: 856-935-7576 | |
Prabhjot Kalsi, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 310 Woodstown Rd, Salem, NJ 08079 Phone: 856-935-1000 Fax: 856-935-9659 | |
Dr. Steven Park, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 310 Woodstown Rd, Salem, NJ 08079 Phone: 856-935-6700 Fax: 856-935-6772 | |
Pedro Quizon Dayrit, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 5 Pointers Auburn Rd, Mannington Medical Office, Salem, NJ 08079 Phone: 856-935-8900 Fax: 856-935-9399 |