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1982666913
VASANT DATTA
HAGERSTOWN, MD
NPI
1982666913
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MD D0018019)
Enumeration Date
2006-04-05
Last Update Date
2007-07-09
Business Address
Mr. VASANT DATTA M.D.
340 MILL ST
HAGERSTOWN, MD 21740-6138
Phone number: 301-739-7100
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Mailing Address
Mr. VASANT DATTA M.D.
PO BOX 599
FUNKSTOWN, MD 21734-0599
Phone number: 301-739-7100
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