Dr. Andrew J Dutka, MD
Psychiatry & Neurology, Neurology in Gaithersburg, MD. Individual provider (NPI-1).
NPI number1619043973
StatusActive
Last updated in NPPESJun 1, 2021
Details
- NPI
- 1619043973
- Entity type
- Individual (NPI-1)
- Name
- Dr. Andrew J Dutka
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 28, 2006
- Certification date
- Jun 1, 2021
- Last updated
- Jun 1, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | D0040133 | MD | Yes |
| 2084N0400X | Psychiatry & Neurology, Neurology | MD32221 | DC | |
| 2084N0400X | Psychiatry & Neurology, Neurology | 0101225623 | VA |
Practice location
655 Watkins Mill RdGaithersburg, MD 20879-3301
Phone 240-632-4900 · Fax 240-632-4901
Mailing address
2101 E Jefferson StRockville, MD 20852-4908
Phone 301-816-2424
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