Individual
LAURA DUTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
20 PROSPECT AVE STE 715, HACKENSACK, NJ 07601-1989
(201) 881-0721
(201) 881-0725
Mailing address
20 PROSPECT AVE STE 715, HACKENSACK, NJ 07601-1989
(201) 881-0721
(201) 881-0725
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA10187700
NJ
207R00000X
Internal Medicine Physician
278605
NY
Other
Enumeration date
07/12/2012
Last updated
10/07/2019
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