Elliot Diamond

LBN: Elliot Diamond
Elliot Diamond is an health care organization with primary practice located at 123 Chestnut St Ste 201, Philadelphia PA 19106-3051. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Sports Medicine, which is considered as the primary health care specialty. Elliot Diamond can be contacted via phone (215) 923-2455, or through Diamond, Elliot via phone (215) 923-2455.

Contact Information

Primary practice address
123 Chestnut St Ste 201 Philadelphia PA 19106-3051
Phone: (215) 923-2455
Fax: (215) 923-4535
Website:
Map and Directions
Authorized official contact:
Name: Diamond, Elliot Doctor of Podiatric Medicine (DPM)
Phone: (215) 923-2455

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Sports Medicine 213ES0000X SC002164L Pennsylvania

Profile Details

NPI number 1972520609
LBN Legal business name Elliot Diamond
DBA Doing business as
Authorized official Diamond, Elliot Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 17th, 2006
Last updated Jan 26th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972520609 NPPES
Pennsylvania MEDICAID 000710490

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