Provider Demographics
NPI:1356694889
Name:DIAMOND, ESTHER HADASSAH (CNM)
Entity type:Individual
Prefix:MRS
First Name:ESTHER
Middle Name:HADASSAH
Last Name:DIAMOND
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1805 ATTAYA RD
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-2902
Mailing Address - Country:US
Mailing Address - Phone:732-370-2485
Mailing Address - Fax:
Practice Address - Street 1:1805 ATTAYA RD
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-2902
Practice Address - Country:US
Practice Address - Phone:732-370-2485
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-22
Last Update Date:2012-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25ME00050201367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife