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Individual

DR. SHELDON D. DISKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
48 WATKINS PARK DR, UPPER MARLBORO, MD 20774-1628
(301) 249-5890
(301) 249-5892
Mailing address
7931 RITCHIE HWY, GLEN BURNIE, MD 21061-4343
(410) 768-8830
(410) 768-2219

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA0635
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6803
CARE FIRST NATIONAL CAPIT
MD
01
X156
CARE FIRST
MD
Enumeration date
01/14/2007
Last updated
07/21/2016
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