Individual
VISHAL DATTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 MARKET ST STE 300, COLLEGEVILLE, PA 19426-4927
(215) 997-9441
Mailing address
100 MARKET ST, STE 300, COLLEGEVILLE, PA 19426-4927
(215) 997-9441
(215) 997-6730
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD417796
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
410988101
—
MD
Enumeration date
05/12/2006
Last updated
05/03/2023
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