Organization
VASANT DATTA MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VASANT DATTA M.D. (M.D.)
(301) 739-7100
Entity
Organization
Contact information
Practice address
9727 PEMBROKE DR, HAGERSTOWN, MD 21740-1568
(240) 675-1231
(301) 714-0011
Mailing address
340 MILL ST, HAGERSTOWN, MD 21740-6138
(301) 739-7100
(301) 739-5925
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
D0018019
MD
Other
Enumeration date
10/26/2006
Last updated
08/23/2016
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