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Organization
CHESAPEAKE PODIATRY GROUP PA
Active
Organization
CHESAPEAKE PODIATRY GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC L DIAMOND DPM (PRES OWNER)
(410) 363-2233
Entity
Organization
Contact information
Practice address
910 WASHINGTON RD, STE D, WESTMINSTER, MD 21157
(410) 876-8637
(410) 857-5273
Mailing address
25 CROSSROADS DR, STE 410, OWINGS MILLS, MD 21117
(410) 363-2233
(410) 363-2235
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E351
BLUE SHIELD
DC
01
—
KY26
BLUE SHIELD
MD
Enumeration date
05/15/2006
Last updated
08/22/2020
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