Ellen J. Dutta, Md, Pa

NPI 1093988685 - Allergy & Immunology - 207K00000X

NPI Details
NPI 1093988685
Enumeration Date 04/04/2008
Last Updated 04/04/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name ELLEN JOY ELLEN
Position OWNER
Phone (972) 250-4016
Fax (972) 250-4017
Practice Location
16901 DALLAS PKWY
SUITE 206
ADDISON TX, 75001-5226, US
Phone (972) 250-4016
Fax (972) 250-4017
Business Location
16901 DALLAS PKWY
SUITE 206
ADDISON TX, 75001-5226, US
Phone (972) 250-4016
Fax (972) 250-4017
Toxanomy
Taxonomy Code 207K00000X
License State Texas
License Number L2872
Remove 1093988685 NPI Number
 

According to our database, Ellen J. Dutta, Md, Pa NPI is 1093988685, taxonomy code is 207K00000X and license number is L2872, license state is located at Texas. Ellen J. Dutta, Md, Pa physically located at 16901 Dallas Pkwy, Addison TX, 75001-5226. NPI Number 1033115704 has the healthcare provider type.

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1093988685 NPI number is provided on an as is basis without warranty of any kind. 1093988685 is maintained by the National Plan & Provider Enumeration System. The contents of Ellen J. Dutta, Md, Pa are for informational purposes only.