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Elliot Diamond
Sports Medicine Podiatrist in Philadelphia, Pennsylvania
NPI 1972520609

Elliot Diamond is a Sports Medicine Podiatrist based in Philadelphia, PA and is specialized in Sports Medicine. Elliot Diamond practices in Philadelphia, PA. The NPI Number for Elliot Diamond is 1972520609 and holds a License No. SC002164L (Pennsylvania).

The current practice location address for Elliot Diamond is 123 Chestnut St, Philadelphia, PA and can be reached out via phone at 215-923-2455 and via fax at 215-923-4535.

Location: 123 Chestnut St, Philadelphia, PA, 19106-3051
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972520609
Provider Name
Elliot Diamond
Credential
Provider Entity Type
Organization
Address
123 Chestnut St, Philadelphia, PA, 19106-3051
Phone Number
215-923-2455
Fax Number
215-923-4535
Provider Enumeration Date
07/17/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
000710490 05 PA
institution
Provider Business Practice Location Address Details
Address
123 Chestnut St
City
Philadelphia
State
Pennsylvania
Zip
19106-3051
Phone Number
215-923-2455
Fax Number
215-923-4535
person
Provider Business Mailing Address Details
Address
123 Chestnut St
City
Philadelphia
State
Pennsylvania
Zip
19106-3051
Phone Number
215-923-2455
Fax Number
215-923-4535
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Sports Medicine
Taxonomy
213ES0000X
License No.
SC002164L (Pennsylvania)
Definition
Definition to come...
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