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Individual
DR. RAHUL DATTA
Active
Individual
DR. RAHUL DATTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD PHD
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
25MA10427500
NJ
207K00000X
Allergy & Immunology Physician
54431
CT
207K00000X
Allergy & Immunology Physician
Primary
MD465799
PA
Other
Enumeration date
04/17/2012
Last updated
01/17/2020
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