Individual
DR. ELLIOT DIAMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
123 CHESTNUT ST STE 201, PHILADELPHIA, PA 19106-3051
(215) 923-2455
(215) 923-4535
Mailing address
123 CHESTNUT STREET, STE 201, PHILADELPHIA, PA 19106-3051
(215) 923-2455
(215) 923-4535
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC002164L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000710450
—
PA
01
—
D11537095
B.S.
—
Enumeration date
06/28/2005
Last updated
01/08/2009
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