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Organization
ELLIOT DIAMOND
Active
Organization
ELLIOT DIAMOND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLIOT DIAMOND D.P.M. (OWNER)
(215) 923-2455
Entity
Organization
Contact information
Practice address
123 CHESTNUT ST, STE 201, PHILADELPHIA, PA 19106-3051
(215) 923-2455
(215) 923-4535
Mailing address
123 CHESTNUT ST., STE 201, PHILADELPHIA, PA 19106-3051
(215) 923-2455
(215) 923-4535
Taxonomy
Speciality
Code
Description
License number
State
213ES0000X
Sports Medicine Podiatrist
Primary
SC002164L
PA
Other
Enumeration date
07/17/2006
Last updated
01/26/2012
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