MEDICARE: DR. MARK DIAMOND MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	MD018122E	PA

General Provider Information

NPI Number	:	1952304537
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK DIAMOND MD

Provider Business Mailing Address
First Line	:	2665 MCCOMAS AVE
Second Line	:
City	:	KENSINGTON
State	:	MD
Zip	:	20895-2826
Country	:	US
Telephone Number	:	412-341-7288
Fax Number	:

Provider Business Practice Location Address
First Line	:	2665 MCCOMAS AVE
Second Line	:
City	:	KENSINGTON
State	:	MD
Zip	:	20895-2826
Country	:	US
Telephone Number	:	412-341-7288
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	04/26/2023

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Directions to “ DR. MARK DIAMOND MD” Practice Location

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