CHARLES L DIETZEK, DO, FACOS, PC
NPI 1306905658
Surgery - Vascular Surgery in Voorhees, NJ

Active since December 06, 2006
1000 WHITE HORSE RD, SUITE 703, VOORHEES, NJ 08043(856) 309-9777(856) 309-9774 Get Directions Write a Review

NPPES record last updated: February 5, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Charles L Dietzek, Do, Facos, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES L DIETZEK, DO, FACOS, PC (NPI 1306905658) is a healthcare organization registered as a vascular surgery in Voorhees, New Jersey and active in the NPI registry since December 2006. The organization lists Susan Berkowitz, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1306905658
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameCHARLES L DIETZEK, DO, FACOS, PC
Location Address1000 WHITE HORSE RD, SUITE 703Voorhees, NJ 08043-4406
Mailing Address1000 White Horse Rd, Suite 703Voorhees, NJ 08043-4406 · (856) 309-9777 · Fax (856) 309-9774
Fax(856) 309-9774
Organization SubpartNo
Authorized OfficialSusan BerkowitzBilling Manager · (856) 309-9777
Enumeration DateDecember 6, 2006
Last NPPES UpdateFebruary 5, 2008
NPI 1306905658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

1000 WHITE HORSE RD, Voorhees, NJ 08043

Other Identifiers 5

Other3947376Aetna
Medicaid0071641NJ
Medicare PIN092218NJ
Medicare PINDD7201NJ
Other60017604Horizon

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
1000 WHITE HORSE RD, SUITE 904
VOORHEES, NJ 08043
Ophthalmology
1000 WHITE HORSE RD, SUITE 106
VOORHEES, NJ 08043
Dentist (General Practice)
1000 WHITE HORSE RD, SUITE 302
VOORHEES, NJ 08043
Ophthalmology
1000 WHITE HORSE RD, SUITE 106
VOORHEES, NJ 08043
Psychologist
1000 WHITE HORSE RD, STE 408
VOORHEES, NJ 08043
Dentist (Periodontics)
1000 WHITE HORSE RD, SUITE 916
VOORHEES, NJ 08043
Audiologist
1000 WHITE HORSE RD, SUITE 510
VOORHEES, NJ 08043
Audiologist
1000 WHITE HORSE RD, SUITE 510
VOORHEES, NJ 08043

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles L Dietzek, Do, Facos, PC's NPI number?

The NPI number for Charles L Dietzek, Do, Facos, PC is 1306905658. It was assigned to this organization in the NPPES registry on December 6, 2006.

Where is Charles L Dietzek, Do, Facos, PC located?

Charles L Dietzek, Do, Facos, PC is located at 1000 White Horse Rd Suite 703, Voorhees, NJ 08043. The listed phone number is (856) 309-9777.

What is Charles L Dietzek, Do, Facos, PC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for Charles L Dietzek, Do, Facos, PC was last updated on February 5, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.