| Dr Ellen Joy Dutta, MD | |
|
Lahey Hospital And Medical Center, 41 Mall Road, Burlington, MA 01805 | |
| (781) 744-8000 | |
| Not Available |
| Full Name | Dr Ellen Joy Dutta |
|---|---|
| Gender | Female |
| Speciality | Allergy/immunology |
| Experience | 28 Years |
| Location | Lahey Hospital And Medical Center, Burlington, Massachusetts |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588693139 | NPI | - | NPPES |
| 1829996 1 | Other | CIGNA PAL | |
| 0090HU | Other | TX | BLUE CROSS BLUE SHIELD |
| 00927F | Other | TX | MEDICARE ID |
| 4218788 | Other | TX | BLUE LINK |
| 7543296 | Other | TX | AETNA |
| 1829996 1 | Other | TX | CIGNA PAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207K00000X | Allergy & Immunology | 234028 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lahey Hospital & Medical Center, Burlington | Burlington, MA | Hospital |
| Beth Israel Deaconess Medical Center | Boston, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lahey Clinic Inc | 2264336528 | 1268 |
| Entity Name | Lahey Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538194980 PECOS PAC ID: 2264336528 Enrollment ID: O20031120000097 |
| Entity Name | Lahey Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063447316 PECOS PAC ID: 2264336528 Enrollment ID: O20040629001269 |
| Entity Name | The General Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023049236 PECOS PAC ID: 6507803806 Enrollment ID: O20080313000351 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ellen Joy Dutta, MD Lahey Provider Enrollment, 41 Mall Road, Burlington, MA 01805-0001 Ph: (781) 744-8085 | Dr Ellen Joy Dutta, MD Lahey Hospital And Medical Center, 41 Mall Road, Burlington, MA 01805 Ph: (781) 744-8000 |
John A Saryan, MD Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 41 Mall Rd, Burlington, MA 01805 Phone: 781-744-8000 Fax: 781-744-3442 | |
Joseph E Kelleher Jr, MD Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 41 Mall Rd, Burlington, MA 01805 Phone: 781-744-8441 Fax: 781-744-3442 | |
Jessica Feng, MD Allergy & Immunology Medicare: May Accept Medicare Assignments Practice Location: 41 Mall Rd, Burlington, MA 01805 Phone: 781-744-8000 | |
Monica G Ghoshhajra, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: Lahey Hospital And Medical Center, 41 Mall Road, Burlington, MA 01805 Phone: 781-744-8442 Fax: 781-744-3442 | |
Steven M. Matloff, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: Lahey Hospital And Medical Center, 41 Mall Road, Burlington, MA 01805 Phone: 781-744-8442 Fax: 781-744-3442 |