Vasant Datta


Address: 9727 Pembroke Dr, Hagerstown, MD 21740-1568

Vasant Datta (NPI# 1982666913, PAC ID# 3971499070) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1982666913
PAC ID by PECOS 3971499070
Professional Enrollment ID I20101123001004
Full Name Vasant Datta
Address 9727 Pembroke Dr
Hagerstown
MD 21740-1568
Gender M
Graduation Year 1963
Primary Specialty FAMILY MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
390065 GETTYSBURG HOSPITAL
210001 MERITUS MEDICAL CENTER

Other Locations

Address Phone Organization
9727 Pembroke Dr, Hagerstown, MD 21740-1568

Organization Information

Office Location

Street Address 9727 PEMBROKE DR
City HAGERSTOWN
State MD
Zip 21740-1568

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Danielle M Penland Raymond Clinical Social Worker 226 N Potomac St, Hagerstown, MD 21740-3813
Jamie Lynette Rowland Clinical Social Worker 226 N Potomac St, Hagerstown, MD 21740-3813
Christine N Coble Nurse Practitioner Way Station Inc 328 N Potomac St, Hagerstown, MD 21740-3820
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Marcia R Johnson-reinhart Clinical Social Worker Way Station Inc 328 N Potomac St, Hagerstown, MD 21740-3820
Marty V Cairns Chiropractic 479 N Potomac St, Hagerstown, MD 21740-3821
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Competitor

Search similar physicians

City HAGERSTOWN
Zip Code 21740
Specialty FAMILY MEDICINE
City + Specialty HAGERSTOWN + FAMILY MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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