Organization
ELLEN J. DUTTA, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN JOY DUTTA MD (OWNER)
(972) 250-4016
Entity
Organization
Contact information
Practice address
16901 DALLAS PKWY, SUITE 206, ADDISON, TX 75001-5226
(972) 250-4016
(972) 250-4017
Mailing address
16901 DALLAS PKWY, SUITE 206, ADDISON, TX 75001-5226
(972) 250-4016
(972) 250-4017
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
L2872
TX
Other
Enumeration date
04/04/2008
Last updated
04/04/2008
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