Provider Demographics
NPI:1013640176
Name:DIAMOND, SARAH (NTP, RWP)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:
Last Name:DIAMOND
Suffix:
Gender:F
Credentials:NTP, RWP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 WOODSIDE RD
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01890-1753
Mailing Address - Country:US
Mailing Address - Phone:781-572-8424
Mailing Address - Fax:
Practice Address - Street 1:55 WOODSIDE RD
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:MA
Practice Address - Zip Code:01890-1753
Practice Address - Country:US
Practice Address - Phone:781-572-8424
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-06
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist