Charles L Dietzek, Do, Facos, Pc in Voorhees - Vascular Surgery
Charles L Dietzek, Do, Facos, Pc - NPI 1306905658
Charles L Dietzek, Do, Facos, Pc is a Vascular Surgery in Voorhees, New Jersey. Charles L Dietzek, Do, Facos, Pc practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Charles L Dietzek, Do, Facos, Pc is 1306905658. The last update date is 2008-02-05.
Charles L Dietzek, Do, Facos, Pc's current location address is 1000 White Horse Rd, Voorhees, New Jersey. You can contact this provider via phone number 8563099777 and fax number 8563099774. The mailing address for Charles L Dietzek, Do, Facos, Pc is 1000 White Horse Rd, Voorhees, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Charles L Dietzek, Do, Facos, Pc |
|---|---|
| Address | 1000 White Horse Rd, Voorhees, New Jersey |
| Phone Number | 8563099777 |
| Fax Number | 8563099774 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | BILLING MA |
|---|---|
| Authorized Official Name | Berkowitz Susan |
| Telephone Number | 8563099777 |
NPI Number Detail
| NPI Number | 1306905658 |
|---|---|
| Provider Enumeration Date | 2006-12-06 |
| Last Updated Date | 2008-02-05 |
Provider Mailing Address Detail
| Address | 1000 White Horse Rd |
|---|---|
| City | Voorhees |
| State | New Jersey (NJ) |
| Post Code | 80434406 |
| Phone Number | 8563099777 |
| Fax Number | 8563099774 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
|
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3947376 | AETNA | ||
| 71641 | NJ | -- | |
| 60017604 | HORIZON |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Charles L Dietzek, Do, Facos, Pc by the Centers for Medicare & Medicaid Services?
The Charles L Dietzek, Do, Facos, Pc has been assigned the NPI (National Provider Identifier) 1306905658 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Charles L Dietzek, Do, Facos, Pc's facilities are situated?
The facilities of Charles L Dietzek, Do, Facos, Pc are physically located at the following address: 1000 White Horse Rd, Voorhees, NJ, 80434406.
What is the Charles L Dietzek, Do, Facos, Pc's area of specialization and corresponding taxonomy classification?
The Charles L Dietzek, Do, Facos, Pc's specialty field is Vascular Surgery, and it falls under the taxonomy code 2086S0129X, which categorizes healthcare providers based on their specialties.
When did the Charles L Dietzek, Do, Facos, Pc receive its 1306905658?
The Charles L Dietzek, Do, Facos, Pc was issued its 1306905658 on 2006-12-06, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Charles L Dietzek, Do, Facos, Pc most recently updated or revised?
The information pertaining to Charles L Dietzek, Do, Facos, Pc, including its address, specialty, and other relevant details, was last updated or revised on 2008-02-05.
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