| Datta Consultants Llc | |
|
132 Rosalie Rd Newton Center MA 02459-3153 | |
| (617) 548-0184 | |
| (617) 609-7636 |
| Full Name | Datta Consultants Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 132 Rosalie Rd, Newton Center, Massachusetts |
| Authorized Official Name and Position | Datta Gouri (OWNER/PSYCHIATRIST) |
| Authorized Official Contact | 6175480184 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Datta Consultants Llc 132 Rosalie Rd Newton Center MA 02459-3153 Ph: (617) 548-0184 | Datta Consultants Llc 132 Rosalie Rd Newton Center MA 02459-3153 Ph: (617) 548-0184 |
| NPI Number | 1316675275 |
|---|---|
| Provider Enumeration Date | 08/09/2022 |
| Last Update Date | 08/09/2022 |
| Certification Date | 08/09/2022 |
| Medicare PECOS PAC ID | 7214389345 |
|---|---|
| Medicare Enrollment ID | O20240115000155 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316675275 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | (* (Not Available)) | Primary |
| Provider Name | Gouri Datta |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1528054889 PECOS PAC ID: 5395704522 Enrollment ID: I20041018000367 |
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