Diamond, Marc Shivok
Diamond, Marc Shivok is an individual health care provider with primary practice located at 3401 N Broad St , Philadelphia PA 19140-5103. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Diamond, Marc Shivok can be contacted via phone (215) 707-5864.Contact Information
Primary practice address
3401 N Broad St
Philadelphia PA 19140-5103
Phone: (215) 707-5864
Fax: (215) 707-6867
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | MD445374 | Pennsylvania |
Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | MD445374 | Pennsylvania |
Profile Details
NPI number | 1760613665 |
---|---|
LBN Legal business name | Diamond, Marc Shivok |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 27th, 2009 |
Last updated | Apr 9th, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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