| NPI | 1972520609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLIOT DIAMOND Owner 215-923-2455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0000X Podiatrist, Sports Medicine (Licence: PA SC002164L) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2012-01-26 |