DIVYA MAMOOTIL

BETHLEHEM, PA
NPI1134794050
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207RR0500X Internal Medicine Rheumatology
(Licence: PA  MT231028)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-05-24
Last Update Date2024-06-13
Business Address
DIVYA MAMOOTIL M.D.
801 OSTRUM ST
BETHLEHEM, PA 18015-1000
Phone number: 866-785-8537
Mailing Address
DIVYA MAMOOTIL M.D.
801 OSTRUM ST
BETHLEHEM, PA 18015-1000
Phone number: 866-785-8537