Individual
DR. TARA LYNNE MCCOLGIN DUTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1695 ROOSEVELT AVE STE B, YORK, PA 17408-8521
(717) 851-5503
(717) 798-3510
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
P24030
MD
2084N0400X
Neurology Physician
A127885
CA
2084N0400X
Neurology Physician
FD4884450
PA
2084N0400X
Neurology Physician
Primary
MD477041
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A127885
MEDICAL LICENSE
CA
Enumeration date
06/12/2009
Last updated
10/31/2024
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