Individual
DR. ANSHUL DUTTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
230 N BROAD ST, PHILADELPHIA, PA 19102-1121
(215) 762-7698
Mailing address
230 N BROAD ST, PHILADELPHIA, PA 19102-1121
(215) 762-7698
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MT207652
PA
Other
Enumeration date
07/19/2014
Last updated
07/19/2014
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