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Individual

DR. SOUMITRA SEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1520 S MAIN ST, SUITE 2, DAYTON, OH 45409-2698
(937) 461-5815
(937) 461-2896
Mailing address
1520 S MAIN ST, SUITE 2, DAYTON, OH 45409-2698
(937) 461-5815
(937) 461-2896

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.096245
OH
207RP1001X
Pulmonary Disease Physician
Primary
35-096245
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3119431
OH
Enumeration date
07/02/2009
Last updated
07/06/2016
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