Provider Demographics
NPI:1649431149
Name:DIAMOND, RUEITH M (RN)
Entity type:Individual
Prefix:
First Name:RUEITH
Middle Name:M
Last Name:DIAMOND
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:42 EATON RD
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01701-3318
Mailing Address - Country:US
Mailing Address - Phone:508-380-8680
Mailing Address - Fax:508-370-0283
Practice Address - Street 1:211 COCHITUATE RD
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01701-4673
Practice Address - Country:US
Practice Address - Phone:508-380-8680
Practice Address - Fax:508-370-0283
Is Sole Proprietor?:No
Enumeration Date:2008-06-18
Last Update Date:2015-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1183391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical