Dutta, Ellen Joy
Dutta, Ellen Joy is an sole proprietor health care provider with primary practice located at Lahey Hospital And Medical Center 41 Mall Road, Burlington MA 01805. She recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as her primary health care specialty. Dutta, Ellen Joy can be contacted via phone (781) 744-8000.Contact Information
Primary practice address
Lahey Hospital And Medical Center 41 Mall Road
Burlington MA 01805
Phone: (781) 744-8000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 234028 | Massachusetts |
Profile Details
| NPI number | 1588693139 |
|---|---|
| LBN Legal business name | Dutta, Ellen Joy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | Dec 6th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588693139 | NPPES |
| Other | 1829996 1 | CIGNA PAL | |
| Other | 0090HU | CIGNA PAL | |
| Other | 00927F | CIGNA PAL | |
| Other | 4218788 | CIGNA PAL | |
| Other | 7543296 | CIGNA PAL | |
| Other | 1829996 1 | CIGNA PAL |
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