| Dr. Michael J. Diamond, Pa | |
|
509 Orange St Newark NJ 07107-2128 | |
| (973) 481-5000 | |
| (973) 481-0353 |
| Full Name | Dr. Michael J. Diamond, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 509 Orange St, Newark, New Jersey |
| Authorized Official Name and Position | Michael J. Diamond (PRESIDENT) |
| Authorized Official Contact | 9734815000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Michael J. Diamond, Pa 509 Orange St Newark NJ 07107-2128 Ph: (973) 481-5000 | Dr. Michael J. Diamond, Pa 509 Orange St Newark NJ 07107-2128 Ph: (973) 481-5000 |
| NPI Number | 1730301821 |
|---|---|
| Provider Enumeration Date | 05/02/2007 |
| Last Update Date | 07/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730301821 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22DI00913400 (New Jersey) | Primary |
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