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Individual

DR. DAVID VAN DIAMOND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
77 MASSACHUSETTS AVE, MIT E23/209, CAMBRIDGE, MA 02139
(617) 253-7625
(617) 253-6373
Mailing address
25 CARLETON ST, E23, CAMBRIDGE, MA 02142-1323
(617) 253-7625

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
44907
MA
2083X0100X
Occupational Medicine Physician
44907
MA

Other

Enumeration date
01/13/2006
Last updated
04/05/2012
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