Organization
KAMAL K. DUTTA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAMAL KUMAR DUTTA MD (PRESIDENT)
(973) 777-9889
Entity
Organization
Contact information
Practice address
426 PASSAIC AVE, LODI, NJ 07644-1534
(973) 777-9889
(973) 779-1689
Mailing address
426 PASSAIC AVE, LODI, NJ 07644-1534
(973) 777-9889
(973) 779-1689
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
25MA04150200
NJ
Other
Enumeration date
10/02/2014
Last updated
10/02/2014
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