Dr. Marc Shivok Diamond, MD
Internal Medicine, Pulmonary Disease in Philadelphia, PA. Individual provider (NPI-1).
NPI number1760613665
StatusActive
Last updated in NPPESApr 9, 2018
Details
- NPI
- 1760613665
- Entity type
- Individual (NPI-1)
- Name
- Dr. Marc Shivok Diamond
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 27, 2009
- Last updated
- Apr 9, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RP1001X | Internal Medicine, Pulmonary Disease | MD445374 | PA | Yes |
| 207RC0200X | Internal Medicine, Critical Care Medicine | MD445374 | PA |
Practice location
3401 N Broad StPhiladelphia, PA 19140-5103
Phone 215-707-5864 · Fax 215-707-6867
Mailing address
2450 W Hunting Park AvePhiladelphia, PA 19129-1302
Phone 215-707-5864 · Fax 215-707-6867
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