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Individual

SAUMYAJIT DATTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1700 WHEELING ST, AURORA, CO 80045-7211
(720) 723-6344
Mailing address
1700 WHEELING ST, AURORA, CO 80045-7211

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00037210
WA
207Q00000X
Family Medicine Physician
MD195303
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1477582195
NPI NUMBER
OR
Enumeration date
07/03/2006
Last updated
03/24/2023
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