Individual
JAYANTI DASGUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 HOSPITAL DR STE 300, GLEN BURNIE, MD 21061-5884
(410) 837-2050
Mailing address
1111 N CHARLES ST, BALTIMORE, MD 21201-5505
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D6334293
MD
Other
Enumeration date
03/25/2015
Last updated
11/09/2018
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