Individual
STEPHANIE P DIAMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2201 FOREST HILLS DR, SUITE 7, HARRISBURG, PA 17112-1089
(717) 652-5063
(717) 671-9554
Mailing address
2201 FOREST HILLS DR, SUITE 7, HARRISBURG, PA 17112-1089
(717) 652-5063
(717) 671-9554
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD049642L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02882300
CAPITAL BLUE CROSS
PA
01
—
742771
HIGHMARK BLUE SHIELD
PA
Enumeration date
08/26/2005
Last updated
05/20/2008
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