Organization
DIAMOND DIAGNOSTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNAMARIA CONKLIN (CREDENTIAL COORDINATOR)
(973) 458-0422
Entity
Organization
Contact information
Practice address
220 HAMBURG TPKE, WAYNE, NJ 07470-2110
(973) 790-8090
Mailing address
PO BOX 522, CLIFTON, NJ 07012-0522
(973) 458-0422
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/18/2007
Last updated
08/22/2020
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