Most Relevant Information
Provider Data
| NPI Number: | 1003349713 |
| Provider Name: | DIVYA VANGALA M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 208000000X |
| Specialty: | Pediatrics |
| License Number: | 2020-02955 |
Most Important Dates
| Enumeration Date: | 04/10/2017 |
| Last Updated: | 08/11/2022 |
Provider Practice Location
33 TOWER ST
SOMERVILLE
MA
021431426
Practice Location Phone/Fax
| Phone: | 6175916300 |
| Fax: |
Provider Mailing Location
1493 CAMBRIDGE ST
CAMBRIDGE
MA
021391099
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |
Suggested EMR
Pediatrics EMR