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DR. ELLEN JOY DUTTA M.D.

Allergy and Immunology

Burlington, Massachusetts

Provider NPI: 1588693139

Provider Information:
DR. ELLEN JOY DUTTA M.D.


Practice Location:
LAHEY HOSPITAL AND MEDICAL CENTER 41 MALL ROAD BURLINGTON, MA 01805 US
Tel: 781-744-8000  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207K00000XPhysicians
Allergy & Immunology
MA234028

Other Provider Identifiers:

IssuerNumberStateType
CIGNA PAL1829996 101
BLUE LINK4218788TX01
AETNA7543296TX01
CIGNA PAL1829996 1TX01
BLUE CROSS BLUE SHIELD0090HUTX01
MEDICARE ID00927FTX01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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