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Individual

DR. DIANA EMANUEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
8000 YORK RD, VAN BOKKELEN HALL, LOWER LEVEL, TOWSON, MD 21252-0001
(410) 704-3095
(410) 704-6303
Mailing address
8000 YORK RD, VAN BOKKELEN HALL, LOWER LEVEL, TOWSON, MD 21252-0001
(410) 704-3095
(410) 704-6303

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
00712
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
60771701
BLUE CROSS BLUE SHIELD
01
N199 0005
FEDERAL BLUE CHOICE
MD
Enumeration date
01/04/2011
Last updated
01/04/2011
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