Organization
UJJWAL K DATTA DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. UJJWAL K DATTA DPM (OWNER)
(646) 552-6823
Entity
Organization
Contact information
Practice address
491 NEW BRUNSWICK AVE, PERTH AMBOY, NJ 08861-3653
(732) 442-3668
Mailing address
9737 63RD RD, REGO PARK, NY 11374-1642
(732) 442-3668
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
5326930002
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0029157
—
NJ
Enumeration date
06/11/2008
Last updated
01/16/2009
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