Provider Demographics
NPI:1639253750
Name:DIAMOND INSTITUTE FOR INFERTILITY AND MENOPAUSE
Entity Type:Organization
Organization Name:DIAMOND INSTITUTE FOR INFERTILITY AND MENOPAUSE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JESSE
Authorized Official - Middle Name:
Authorized Official - Last Name:HADE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-761-5600
Mailing Address - Street 1:89 MILLBURN AVE
Mailing Address - Street 2:
Mailing Address - City:MILLBURN
Mailing Address - State:NJ
Mailing Address - Zip Code:07041-1946
Mailing Address - Country:US
Mailing Address - Phone:973-761-5600
Mailing Address - Fax:973-761-5100
Practice Address - Street 1:89 MILLBURN AVE
Practice Address - Street 2:
Practice Address - City:MILLBURN
Practice Address - State:NJ
Practice Address - Zip Code:07041-1946
Practice Address - Country:US
Practice Address - Phone:973-761-5600
Practice Address - Fax:973-761-5100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty