Healthcare Provider Details

I. General information

NPI: 1326046624
Provider Name (Legal Business Name): CHRISTOPHER DIAMOND MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2005
Last Update Date: 08/22/2025
Certification Date: 08/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 HOLLIS ST
MANCHESTER NH
03101-1235
US

IV. Provider business mailing address

145 HOLLIS ST
MANCHESTER NH
03101-1235
US

V. Phone/Fax

Practice location:
  • Phone: 603-626-9500
  • Fax:
Mailing address:
  • Phone: 603-626-9500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number19123
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: