PENNY DIVITA, DO

Pediatrics

Active Individual
NPI: 1598744757

Practice Address

830 PENNSYLVANIA AVE
STE 200
Charleston, WV 25302

Phone: (304) 388-2709

Specialties

Specialty Code Primary License
Emergency Medicine 207P00000X No 1461 (WV)
Pediatrics 208000000X Yes 1451 (WV)

Frequently Asked Questions

NPI 1598744757 is the National Provider Identifier for PENNY DIVITA, DO, a Pediatrics provider located in Charleston, WV. This NPI was enumerated on January 16, 2006.
PENNY DIVITA, DO practices at 830 PENNSYLVANIA AVE, STE 200, Charleston, WV 25302.

Quick Facts

NPI
1598744757
Type
Individual
Enumerated
Jan 16, 2006
Last Updated
Jun 23, 2011

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