Organization
DATTA CONSULTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DATTA GOURI MD (OWNER/PSYCHIATRIST)
(617) 548-0184
Entity
Organization
Contact information
Practice address
132 ROSALIE RD, NEWTON CENTER, MA 02459-3153
(617) 548-0184
(617) 609-7636
Mailing address
132 ROSALIE RD, NEWTON CENTER, MA 02459-3153
(617) 548-0184
(617) 609-7636
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
—
—
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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