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Organization
HERSHEY KIDNEY SPECIALISTS INC
Active
Organization
HERSHEY KIDNEY SPECIALISTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN R DIAMOND MD (PRESIDENT)
(717) 526-4474
Entity
Organization
Contact information
Practice address
4700 UNION DEPOSIT RD, SUITE 240, HARRISBURG, PA 17111-3774
(717) 526-4474
(717) 526-4476
Mailing address
PO BOX 517, HAZLETON, PA 18201-0517
(570) 450-6200
(570) 450-6207
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD043430E
PA
Other
Enumeration date
06/14/2006
Last updated
12/17/2009
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