# MARK P DIAMOND MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891098919
- **Authorized official:** DR. MARK PHILIP DIAMOND M.D. (PRESIDENT)
- **Authorized official phone:** (410) 574-5877

## Contact information

- **Practice address:** 9105 FRANKLIN SQUARE DR, SUITE 308, BALTIMORE, MD 21237-3930
- **Practice address phone:** (410) 574-5877
- **Practice address fax:** (410) 574-5879
- **Mailing address:** 9105 FRANKLIN SQUARE DR, SUITE 308, BALTIMORE, MD 21237-3930
- **Mailing address phone:** (410) 574-5877
- **Mailing address fax:** (410) 574-5879

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | D0022200 | MD | Yes |

## Other

- **Enumeration date:** 12/11/2010
- **Last updated:** 12/11/2010