Amy D Divasta, M.D. is an adolescent medicine pediatrics in Boston, MA with 25 years of experience. The provider is 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. Amy D Divasta, M.D. NPI is 1891732970. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
Education
Medical School: TUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1999
The provider's business location address is:
300 LONGWOOD AVE
BOSTON, MA
ZIP 02115-724
Phone: (617) 355-7181
The NPI 1891732970 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 5/31/2006 and was last updated on 8/13/2007.