Charles L Dietzek, Do, Facos, Pc
Vascular Surgery Physician in Voorhees, NJ(View on Map)
Legal Business Name
Charles L Dietzek, Do, Facos, Pc
NPI Number
1306905658
NPI Type
Organization
Enumeration Date
12/06/2006
Specialties
(Taxonomies)Contact
Information
Purpose
Mailing
Location
Address
1000 WHITE HORSE RD
1000 WHITE HORSE RD
City
Voorhees
Voorhees
State
NJ
NJ
Postal Code
08043-4406
08043-4406
Country
US
US
Telephone Number
(856) 309-9777
(856) 309-9777
Authorized Official
Name
Mrs. Susan Berkowitz
Title or Position
BILLING MANAGER
Telephone Number
(856) 309-9777
Identifiers
Identifier
3947376
0071641
60017604
Identifier State
Unknown
NJ
Unknown
Identifier Issuer
AETNA
Unknown
HORIZON
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 02/05/2008
Provider Address
Other Vascular Surgery Physicians in Voorhees, New Jersey:
Kennedy Medical Group Practice, P.C.
May also be known as Kennedy Health Alliance
Voorhees, NJSpecialty: Vascular Surgery Physician (Primary)
Kennedy Medical Group Practice, P.C.
May also be known as Jefferson Health
Voorhees, NJSpecialties: Family Medicine Physician (Primary)Endocrinology, Diabetes & Metabolism PhysicianGeneral Practice PhysicianHospitalist PhysicianInternal Medicine PhysicianNeurology PhysicianObstetrics & Gynecology PhysicianThoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianVascular Surgery Physician