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:

Primary	Code	Category/Description	State	License Number
Y	207K00000X	Physicians Allergy & Immunology	MA	234028

Other Provider Identifiers:

Issuer	Number	State	Type
CIGNA PAL	1829996 1		01
BLUE LINK	4218788	TX	01
AETNA	7543296	TX	01
CIGNA PAL	1829996 1	TX	01
BLUE CROSS BLUE SHIELD	0090HU	TX	01
MEDICARE ID	00927F	TX	01

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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