| Gouri Datta Md Pc | |
|
451 Andover St Suite 195 North Andover MA 01845-5044 | |
| (978) 685-8800 | |
| (978) 685-8808 |
| Full Name | Gouri Datta Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 451 Andover St, North Andover, Massachusetts |
| Authorized Official Name and Position | Gouri Datta (OWNER) |
| Authorized Official Contact | 9786858800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gouri Datta Md Pc 451 Andover St Suite 195 North Andover MA 01845-5044 Ph: (978) 685-8800 | Gouri Datta Md Pc 451 Andover St Suite 195 North Andover MA 01845-5044 Ph: (978) 685-8800 |
| NPI Number | 1841231628 |
|---|---|
| Provider Enumeration Date | 06/10/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841231628 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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