Individual
DR. JOYCELYN A DATU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
725 CONCORD AVE, BELMONT MEDICAL ASSOCIATES, CAMBRIDGE, MA 02138-1040
(617) 864-8822
(617) 864-0099
Mailing address
725 CONCORD AVE, BELMONT MEDICAL ASSOCIATES, CAMBRIDGE, MA 02138-1040
(617) 864-8822
(617) 864-0099
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
81128
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042596628
PHCS
MA
05
—
3149455
—
MA
01
—
715734
TUFTS
MA
01
—
AA17883
HARVARD PILGRIM
MA
01
—
M12605
BCBS
MA
Enumeration date
03/21/2006
Last updated
05/31/2011
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