Organization · Type 2 NPI
Charles L. Dietzek
Vascular Surgery Physician · Sewell, NJ
NPI number
1861545188
Active
Practice location
543 Egg Harbor Rd
Sewell, NJ 08080-2335
Mailing address
1000 White Horse Rd, Suite 703
Voorhees, NJ 08043-4406
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vascular Surgery Physician Primary | 2086S0129X | None listed |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
2 other providers at this address
Other vascular surgery physician providers in Sewell
About NPI 1861545188
Charles L. Dietzek's National Provider Identifier is 1861545188, issued on Jan 19, 2007. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Sewell, NJ. The record was last updated on Aug 22, 2020.