Individual ProviderAmruta DutiaFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address310 E Penn Dr, Enola, PA 17025-2158(717) 857-2490PECOS EnrollmentBased on the most recent information from CMS, provider Amruta Dutia is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1356862551Provider TypeIndividualFull NameDutia, AmrutaTitleDr.CredentialMDGenderFemaleSole ProprietorNoEnumeration Date6/28/2017Last Updated2/12/2025Contact InformationPractice LocationPractice Address310 E Penn Dr, Enola, PA 17025-2158Phone(717) 857-2490Fax(717) 857-2491Mailing LocationMailing Address310 E Penn Dr, Enola, PA 17025-2158Phone(717) 857-2490Fax(717) 857-2491Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseMD470896Pennsylvania