Individual
DR. SUKDEB DATTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
90 PARK AVE, SUITE 1700, NEW YORK, NY 10016-1301
(212) 430-0312
(121) 430-0412
Mailing address
47 WOODLAND AVE, APT 301, SUMMIT, NJ 07901-2175
(615) 479-4692
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD40269
TN
208VP0014X
Interventional Pain Medicine Physician
Primary
259015-1
NY
208VP0014X
Interventional Pain Medicine Physician
25MA08823500
NJ
Other
Enumeration date
08/22/2006
Last updated
03/07/2023
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