Organization
JUDITH DIVEN MD PC
Active
Organization
JUDITH DIVEN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDITH DIVEN MD (OWNER)
(412) 563-5777
Entity
Organization
Contact information
Practice address
520 WASHINGTON RD, STE 203, MOUNT LEBANON, PA 15228-2819
(412) 563-5777
(412) 563-0122
Mailing address
520 WASHINGTON RD, STE 203, MOUNT LEBANON, PA 15228-2819
(412) 563-5777
(412) 563-0122
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD018485E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1451593
HIGHMARK
PA
Enumeration date
11/05/2008
Last updated
11/05/2008
Update your record
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