Ellen J. Dutta, Md, PA

NPI #1093988685 in Addison, Texas

Provider Information

NPI Number: 1093988685
Entity Type: Organization
Organization Name: Ellen J. Dutta, Md, PA
Primary Specialty: Allergy & Immunology
Enumeration Date: Apr 4, 2008
Last Updated: Apr 4, 2008

Practice Location

Address: 16901 DALLAS PKWY
Address 2: SUITE 206
City: Addison
State: Texas
ZIP Code: 75001-5226
Phone: (972) 250-4016

Authorized Official

Name: ELLEN JOY DUTTA, MD
Title: OWNER
Phone: (972) 250-4016

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Allergy & Immunology	207K00000X	Primary

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