Individual
NEIL DATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 665-1552
Mailing address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(860) 545-5120
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
275276
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/16/2014
Last updated
01/03/2020
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