Individual
MRS. DIVYA AMPOLU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
56 FRANKLIN STREET, WATERBURY, CT 06706
(203) 709-6424
Mailing address
56 FRANKLIN STREET, WATERBURY, CT 06706
(203) 709-6424
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/26/2024
Last updated
04/08/2025
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