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Charles L. Dietzek
Vascular Surgery Physician in Sewell, New Jersey
NPI 1861545188

Charles L. Dietzek is a Vascular Surgery Physician based in Voorhees, NJ and is specialized in Vascular Surgery. Charles L. Dietzek practices in Sewell, NJ. The NPI Number for Charles L. Dietzek is 1861545188 and holds a License No. (New Jersey).

The current practice location address for Charles L. Dietzek is 543 Egg Harbor Rd, Sewell, NJ and can be reached out via phone at 856-256-2063.

Location: 543 Egg Harbor Rd, Sewell, NJ, 08043-4406
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1861545188
Provider Name
Charles L. Dietzek
Credential
Provider Entity Type
Organization
Address
543 Egg Harbor Rd, Sewell, NJ, 08043-4406
Phone Number
856-256-2063
Fax Number
Provider Enumeration Date
01/19/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2417720000 01 NJ AMERIHEALTH
0071641 05 NJ
3947376 01 NJ AETNA
institution
Provider Business Practice Location Address Details
Address
543 Egg Harbor Rd
City
Sewell
State
New Jersey
Zip
08080-2335
Phone Number
856-256-2063
Fax Number
person
Provider Business Mailing Address Details
Address
543 Egg Harbor Rd
City
Sewell
State
New Jersey
Zip
08080-2335
Phone Number
856-256-2063
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
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Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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