Individual
BARRY DIAMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
274 GREAT RD, ACTON, MA 01720-4702
(978) 263-5182
Mailing address
811 LIBERTY SQUARE RD, BOXBOROUGH, MA 01719-1114
(978) 263-5182
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2741
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1600630
—
MA
01
—
3116790
ATENA PROVIDER NUMBER
MA
01
—
464807
TUFTS ID #
MA
01
—
676911
CIGNA PROVIDER NUMBER
MA
01
—
AA10990
HARVARD PILGRIM ID #
MA
01
—
Y36903
BLUE CROSS OF MA PROVIDER
MA
Enumeration date
12/05/2006
Last updated
07/09/2007
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