Individual
LOUIS M DIAMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PRESIDENT
Contact information
Practice address
415 SPRING RD, HAVERTOWN, PA 19083-5425
(610) 496-5692
Mailing address
415 SPRING RD, HAVERTOWN, PA 19083-5425
(610) 496-5692
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8434048
—
PA
Enumeration date
11/14/2019
Last updated
11/14/2019
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