Moumita Datta
NPI #1891077954 in Highland Park, Michigan
Provider Information
- NPI Number
- 1891077954
- Entity Type
- Individual
- Name
- Moumita Datta
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Enumeration Date
- Sep 14, 2011
- Last Updated
- Sep 14, 2011
Practice Location
- Address
- 14048 WOODWARD AVE
- City
- Highland Park
- State
- Michigan
- ZIP Code
- 48203-3629
- Phone
- (313) 869-2177
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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