Healthcare Provider Details

I. General information

NPI: 1467498931
Provider Name (Legal Business Name): MIHAI VASILE DIAMANDI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2006
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 BRICK RD FL 3
MARLTON NJ
08053-2177
US

IV. Provider business mailing address

90 BRICK RD FL 3
MARLTON NJ
08053-2177
US

V. Phone/Fax

Practice location:
  • Phone: 856-355-6000
  • Fax: 856-355-6731
Mailing address:
  • Phone: 856-355-6000
  • Fax: 856-355-6731

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number25MA13044000
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number25MA13044000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: