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NPI Code Detail

MEDICARE: DR. MARK DIAMOND MD

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
1208000000XPediatrics PhysicianMD018122EPA

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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