Individual
ELAN DIAMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1515 BROAD ST STE B120, BLOOMFIELD, NJ 07003-3059
(973) 873-7000
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
25MA09722600
NJ
208800000X
Urology Physician
25MA09722600
NJ
Other
Enumeration date
06/05/2008
Last updated
06/06/2022
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