Individual
SIDDHANT DATTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
330 BROOKLINE AVE # SPAN2, BOSTON, MA 02215-5400
(617) 754-4677
Mailing address
330 BROOKLINE AVE # SPAN2, BOSTON, MA 02215-5400
(617) 754-4677
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
273308
MA
Other
Enumeration date
06/19/2014
Last updated
06/01/2022
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