Individual
DR. ROBERT N DIAMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
101 PROSPECT ST, SUITE 102, LAKEWOOD, NJ 08701-5003
(732) 367-0699
(732) 367-0937
Mailing address
101 PROSPECT ST, SUITE 102, LAKEWOOD, NJ 08701-5003
(732) 367-0699
(732) 367-0937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OA04226
NJ
152W00000X
Optometrist
TO000371
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2620503
AETNA
—
Enumeration date
02/22/2006
Last updated
08/16/2013
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