Individual provider · Type 1 NPI

Amy D. Divasta, MD

Pediatric Adolescent Medicine Physician · Boston, MA

NPI number 1891732970 Active

Practice location

300 Longwood Ave
Boston, MA 02115-5724

Specialties and licenses

TaxonomyCodeLicense
Pediatric Adolescent Medicine Physician Primary 2080A0000X224617 (MA)

Pediatric Adolescent Medicine Physician: 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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About NPI 1891732970

Amy D. Divasta, MD's National Provider Identifier is 1891732970, issued on May 31, 2006. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in Boston, MA. The record was last updated on Aug 13, 2007.