Individual
DR. IVONA PESEK DIAMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1821 FULTON ST, HARRISBURG, PA 17102-1522
(717) 230-3906
(717) 230-3914
Mailing address
1821 FULTON ST, HARRISBURG, PA 17102-1522
(717) 230-3906
(717) 230-3914
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD066245L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017338870
—
PA
Enumeration date
09/20/2006
Last updated
07/08/2007
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