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Individual

NIRMAL K DUTTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
500 BURLINGTON RD, JACKSON, OH 45640
(740) 288-7784
(740) 288-4126
Mailing address
PO BOX 193, OAK HILL, OH 45656-0193
(740) 288-7784
(740) 288-4126

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35047342
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0486899
OH
Enumeration date
12/27/2006
Last updated
12/25/2009
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