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Individual

MR. INDRANIL DATTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
41 GARRISON RD, BROOKLINE, BOSTON, MA 02135
(161) 727-7810
Mailing address
437 WASHINGTON ST APT 1, BOSTON, MA 02135-2962
(857) 396-6661

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
01/03/2025
Last updated
01/03/2025
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