Diamond, Mark Steven

Diamond, Mark Steven is an individual health care provider with primary practice located at 310 Madison Ave , Morristown NJ 07960-6909. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Diamond, Mark Steven can be contacted via phone (973) 285-1446.

Contact Information

Primary practice address
310 Madison Ave Morristown NJ 07960-6909
Phone: (973) 285-1446
Fax: (973) 605-8854
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MA40560 New Jersey

Profile Details

NPI number 1073514113
LBN Legal business name Diamond, Mark Steven
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Jun 19th, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1073514113 NPPES
Georgia Other 130015075 RR MCR
Georgia MEDICAID 1949608 RR MCR

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