Individual
DIANA JULIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3430 WORTHINGTON BLVD, SUITE 103, FREDERICK, MD 21704-7017
(240) 215-6900
(240) 436-6300
Mailing address
610 SOLAREX CT, FREDERICK, MD 21703-8624
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0061071
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
926580505
—
MD
05
—
926580509
—
MD
Enumeration date
11/03/2005
Last updated
08/02/2016
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