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1093073090
DEBAJYOTI DATTA
PHILADELPHIA, PA
NPI
1093073090
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2012-04-26
Last Update Date
2012-04-26
Business Address
Dr. DEBAJYOTI DATTA M.D.
833 CHESTNUT ST SUITE 301
PHILADELPHIA, PA 19107-4414
Phone number: 215-955-6180
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Mailing Address
Dr. DEBAJYOTI DATTA M.D.
1025 WALNUT ST SUITE 805
PHILADELPHIA, PA 19107-5001
Phone number: 215-955-8768
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