Amy D Divasta is a Adolescent Medicine in Boston, Massachusetts. Amy D Divasta practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Amy D Divasta is 1891732970. The last update date is 2007-08-13.
Amy D Divasta's current location address is 300 Longwood Ave, Boston, Massachusetts. You can contact this provider via phone number 6173557181. The mailing address for Amy D Divasta is 300 Longwood Ave, Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amy D Divasta |
|---|---|
| Address | 300 Longwood Ave, Boston, Massachusetts |
| Phone Number | 6173557181 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1891732970 |
|---|---|
| Provider Enumeration Date | 2006-05-31 |
| Last Updated Date | 2007-08-13 |
Provider Mailing Address Detail
| Address | 300 Longwood Ave |
|---|---|
| City | Boston |
| State | Massachusetts (MA) |
| Post Code | 21155724 |
| Phone Number | 6173557181 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
| Licence No | 224617 |
|
Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Amy D Divasta by the Centers for Medicare & Medicaid Services?
The Amy D Divasta has been issued the NPI (National Provider Identifier) 1891732970 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Amy D Divasta's physical address?
The Amy D Divasta is physically located at 300 Longwood Ave, in the city of Boston, MA, with the postal code 21155724.
What is Amy D Divasta's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Amy D Divasta is Adolescent Medicine, and the corresponding taxonomy classification code for this specialized field is 2080A0000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1891732970 to Amy D Divasta?
The Amy D Divasta received its 1891732970 assignment from the Centers for Medicare & Medicaid Services on 2006-05-31.
As of what date was the information pertaining to Amy D Divasta, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Amy D Divasta, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-08-13.
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