Individual
MR. THEODHOR DIAMANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
51 N. 39TH STREET, PHI - 2C, PHILADELPHIA, PA 19104-2640
(215) 662-9010
(215) 662-9733
Mailing address
51 N. 39TH STREET, PHI - 2C, PHILADELPHIA, PA 19104-2640
(215) 662-9010
(215) 662-9733
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
36114346
IL
207R00000X
Internal Medicine Physician
MD434652
PA
207RC0000X
Cardiovascular Disease Physician
Primary
MD434652
PA
Other
Enumeration date
04/17/2007
Last updated
05/10/2012
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