Organization
SD CARDIOTHORACIC SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUBHAJIT DATTA M.D. (PRESIDENT)
(716) 812-2047
Entity
Organization
Contact information
Practice address
1069 DELAWARE AVE, MARION, OH 43302-1400
(716) 812-2047
Mailing address
3124 BEAN OLLER RD, DELAWARE, OH 43015-9220
(716) 812-2047
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
35 092044
OH
Other
Enumeration date
12/12/2013
Last updated
12/12/2013
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