Individual
ANJALI SRIVASTAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.B.A.
Contact information
Practice address
1 MEDICAL CENTER BLVD, CROZER PEDIATRICS, POB 1, SUITE 205, CHESTER, PA 19013-3902
(610) 619-7410
(610) 876-8483
Mailing address
1 MEDICAL CENTER BLVD, 3 EAST, CHESTER, PA 19013-3902
(610) 447-6680
(610) 447-6677
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MT209522
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22-2540851
—
PA
Enumeration date
06/03/2013
Last updated
06/09/2015
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