Provider Demographics
NPI:1013918440
Name:DIAMOND, JOEL N (MD)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:N
Last Name:DIAMOND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:3212 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:MUNHALL
Mailing Address - State:PA
Mailing Address - Zip Code:15120-3230
Mailing Address - Country:US
Mailing Address - Phone:412-462-7700
Mailing Address - Fax:412-462-7949
Practice Address - Street 1:3212 MAIN ST FL 2
Practice Address - Street 2:
Practice Address - City:MUNHALL
Practice Address - State:PA
Practice Address - Zip Code:15120-3230
Practice Address - Country:US
Practice Address - Phone:412-462-7700
Practice Address - Fax:412-462-7949
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD042205L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001239950Medicaid
666082Medicare PIN
PAE81425Medicare UPIN