Individual
DR. VIVEK DUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.B.B.S, M.S, D.ORTH
Contact information
Practice address
1367 WASHINGTON AVE STE 200, ALBANY, NY 12206
(518) 489-2666
(518) 489-5933
Mailing address
1367 WASHINGTON AVE STE 200, ALBANY, NY 12206-1048
(518) 489-2666
(518) 489-5933
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
301009
NY
207XP3100X
Pediatric Orthopaedic Surgery Physician
301009
NY
390200000X
Student in an Organized Health Care Education/Training Program
275203
MA
Other
Enumeration date
08/05/2014
Last updated
10/31/2019
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