Individual
DIVYAA MATTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
81 PLAINFIELD AVE, EDISON, NJ 08817-3717
(732) 985-2348
Mailing address
5 LENCH AVE, EDISON, NJ 08820-3765
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
28R104471400
NJ
Other
Enumeration date
05/19/2026
Last updated
05/19/2026
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