Provider Demographics
NPI:1750716890
Name:DIAZ- MATHUSEK, ARIAM SCARLET (MD)
Entity type:Individual
Prefix:
First Name:ARIAM
Middle Name:SCARLET
Last Name:DIAZ- MATHUSEK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ARIAM
Other - Middle Name:SCARLET
Other - Last Name:DIAZ-VALDEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2501 S MEBANE ST
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27215-6235
Mailing Address - Country:US
Mailing Address - Phone:336-228-7337
Mailing Address - Fax:336-222-0293
Practice Address - Street 1:2501 S MEBANE ST
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-6235
Practice Address - Country:US
Practice Address - Phone:336-228-7337
Practice Address - Fax:336-222-0293
Is Sole Proprietor?:No
Enumeration Date:2013-09-09
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA934100208000000X
NC2021-01492208000000X
NY270653208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics