Individual
SUJATA DATTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
22 S GREENE ST RM S11C, BALTIMORE, MD 21201-1544
(410) 328-6120
(410) 328-5531
Mailing address
22 S GREENE ST RM S11C, BALTIMORE, MD 21201-1544
(410) 328-6120
(410) 328-5531
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D0100486
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
TN
Other
Enumeration date
05/24/2017
Last updated
08/19/2024
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