Individual
DR. MONIDEEP DUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
725 ALBANY ST, SHAPIRO 7 SUITE, BOSTON, MA 02118-2526
(617) 638-8456
Mailing address
975 JOHNSON FY RD NE, ATLANTA, GA 30342-1619
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
79657
GA
Other
Enumeration date
04/28/2011
Last updated
03/09/2018
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