Individual
DIVYA KRISHNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(732) 236-5298
Mailing address
2163 RARITAN RD, SCOTCH PLAINS, NJ 07076-4713
(732) 236-5298
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/28/2023
Last updated
03/28/2023
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