Divya Vangala, MD | |
33 Tower St, Somerville, MA 02143-1426 | |
(617) 591-6300 | |
Not Available |
Full Name | Divya Vangala |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 33 Tower St, Somerville, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003349713 | NPI | - | NPPES |
2020-02955 | Other | NC | MD LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 2020-02955 (North Carolina) | Secondary |
208000000X | Pediatrics | 293243 (Massachusetts) | Primary |
Entity Name | Cambridge Public Health Commission |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932313228 PECOS PAC ID: 8921910894 Enrollment ID: O20050808000725 |
Mailing Address | Practice Location Address |
---|---|
Divya Vangala, MD 1493 Cambridge St, Cambridge, MA 02139-1099 Ph: () - | Divya Vangala, MD 33 Tower St, Somerville, MA 02143-1426 Ph: (617) 591-6300 |
Natalie Diacovo, Pediatrics Medicare: Medicare Enrolled Practice Location: 236 Highland Ave, Somerville, MA 02143 Phone: 617-591-4440 | |
Dr. Marcia F Dworkind, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 40 Holland St, Somerville, MA 02144 Phone: 617-629-6300 Fax: 617-629-6090 | |
Dr. Dawn Marie Peters, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 40 Holland St, Somerville, MA 02144 Phone: 617-629-6300 Fax: 617-629-6090 | |
Benjamin A Kruskal, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 40 Holland St, Somerville, MA 02144 Phone: 617-629-6000 Fax: 617-629-6070 | |
Carole E Allen, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 40 Holland St, Somerville, MA 02144 Phone: 617-629-6000 Fax: 617-629-6070 | |
Dr. Andrew M. Cox, Pediatrics Medicare: Medicare Enrolled Practice Location: 40 Holland St, Somerville, MA 02144 Phone: 617-629-6000 |