Individual
DR. KANTA DUTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9000 FRANKLIN SQUARE DR, BALTIMORE, MD 21237-3901
(443) 777-7123
Mailing address
8609 STARK CT, NOTTINGHAM, MD 21236-5505
(718) 406-4044
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0006352
MD
Other
Enumeration date
01/20/2017
Last updated
01/20/2017
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