Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMY D DIVASTA, M.D.
ActiveAdolescent Medicine (Pediatrics) · BOSTON, MA
Registration Details
- NPI Number
- 1891732970
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 31, 2006 (19.894468591851 yrs)
- Last Updated
- Aug 13, 2007
- License
-
224617 (MA)
Practice Information
- Address
-
300 LONGWOOD AVEBOSTON, MA, 021155724Browse MA providers · Browse ZIP 02115
- Phone
- 6173557181
- Primary Specialty
-
Adolescent Medicine (Pediatrics)
2080A0000X
Other Adolescent Medicine (Pediatrics) Providers in BOSTON, MA
| Name | Credential | NPI |
|---|---|---|
| DR. MANDY SARA COLES | M.D. | 1851372759 |
| NATALIE JOSEPH | MD | 1568445906 |
| DR. PAMELA J MURRAY | MD | 1508830282 |
| LINDA M GRANT | M.D. | 1033178124 |
| DR. KATHRYN SUSAN BRIGHAM | M.D. | 1043277924 |
| ELIZABETH GOODMAN | M.D. | 1780632950 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.