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Individual
DR. STEPHEN G. DIAMANTONI
Active
Individual
DR. STEPHEN G. DIAMANTONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD029374E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009958720001
—
PA
01
—
158841
MEDICARE GROUP NUMBER
PA
Enumeration date
01/15/2007
Last updated
06/07/2011
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