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General NPI Number Information
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NPI Number | 1437127966
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Entity Type | Individual
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Provider Name | MARIA C DIAZ M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/10/2006
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Last Update Date | 07/02/2010
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Provider Practice Location Address
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Address Line | 6 VOLZ AVE
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City | BALTIMORE
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State | MD
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Zip | 21220-4215
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Country | US
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Telephone | 410-687-2118
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Fax |
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Provider Business Mailing Address
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Address Line | 1026 GOFF RD
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City | BALTIMORE
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State | MD
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Zip | 21221-2014
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Country | US
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Telephone | 410-687-2118
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Fax | 410-687-0145
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | D30153
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License Number State | MD
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