| Organization Name: | DIAMOND TRAUMA & PAIN MANGEMENT, P.C. |
| NPI Number: | 1164472288 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HUGH F BAYLINSON (ADMINISTRATOR) |
| Mailing Address: | 8080 Old York Rd Suite 208 Elkins Park |
| State: | PA US |
| Postal Code: | 190271421 |
| Phone Number: | 2157828760 |
| Fax Number: | 2156357130 |
| NPI Enumeration Date: | 05/11/2006 |
| NPI Last Update Date: | 10/12/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP3300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Pain |
| Taxonomy Definition: | |