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Individual

AVIJEET KUMAR DUT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
701 W PLYMOUTH AVE, DELAND, FL 32720-3236
(386) 943-4522
Mailing address
755 MEMORIAL PKWY, SUITE 300, PHILLIPSBURG, NJ 08865-2748
(908) 454-6303
(908) 454-2289

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
81861
SC
207Q00000X
Family Medicine Physician
Primary
ME142959
FL

Other

Enumeration date
11/06/2014
Last updated
07/01/2022
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