CHARLES L. DIETZEK
Organization (NPI-2)
Active
Provider Information
- NPI Number
1861545188- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 543 EGG HARBOR RD, SEWELL, NJ, 080802335
- Phone
- (856) 256-2063
Specialties & Taxonomies
Unknown
Primary