Provider Demographics
NPI:1417143603
Name:NOAMAN, DIAA F (MD)
Entity Type:Individual
Prefix:DR
First Name:DIAA
Middle Name:F
Last Name:NOAMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:DIAA
Other - Middle Name:F
Other - Last Name:NOAMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:41 FAIR HARBOUR PL
Mailing Address - Street 2:
Mailing Address - City:NEW LONDON
Mailing Address - State:CT
Mailing Address - Zip Code:06320-4710
Mailing Address - Country:US
Mailing Address - Phone:860-437-6914
Mailing Address - Fax:860-437-6921
Practice Address - Street 1:22 CASE ST
Practice Address - Street 2:
Practice Address - City:NORWICH
Practice Address - State:CT
Practice Address - Zip Code:06360-2215
Practice Address - Country:US
Practice Address - Phone:860-823-1399
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-20
Last Update Date:2011-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0496022084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry