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Organization
FOOT SURGI-CENTER OF OWINGS MILLS, LLC
Active
Organization
FOOT SURGI-CENTER OF OWINGS MILLS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC L DIAMOND DPM (OWNER)
(410) 363-2233
Entity
Organization
Contact information
Practice address
25 CROSSROADS DR, STE 410, OWINGS MILLS, MD 21117-5439
(410) 363-2233
(410) 363-2235
Mailing address
25 CROSSROADS DR, STE 410, OWINGS MILLS, MD 21117-5439
(410) 363-2233
(410) 363-2235
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A1397
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109235
EMPLOYERS HEALTH PLAN
—
01
—
3768322
AETNA HMO
—
05
—
406146200
—
MD
01
—
64190001
BCBS
MD
01
—
689786
NCPPO
—
01
—
7973633
AETNA PPO
—
01
—
P10037
INFORMED
—
01
—
RPI
BCBS
DC
Enumeration date
06/21/2005
Last updated
03/13/2013
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