Individual
ANIL KUMAR DUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
406 W OAK ST, TITUSVILLE, PA 16354-1404
(814) 827-4244
(814) 827-6643
Mailing address
PO BOX 302, TITUSVILLE, PA 16354-0302
(814) 827-4244
(814) 827-6643
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD428849
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017463730001
—
PA
01
—
P00342302
RAILROAD MEDICARE
PA
Enumeration date
06/22/2006
Last updated
03/30/2016
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