Konstantin Dateshidze in Browns Mills - Anesthesiology
Konstantin Dateshidze - NPI 1104873827
Konstantin Dateshidze is a Anesthesiology in Browns Mills, New Jersey. Konstantin Dateshidze practices all healthcare services and medical treatments related to Anesthesiology. The NPI Number for Konstantin Dateshidze is 1104873827. The last update date is 2007-07-08.
Konstantin Dateshidze's current location address is 200 Trenton Rd, Browns Mills, New Jersey. You can contact this provider via phone number 6098931200 and fax number 6098931213. The mailing address for Konstantin Dateshidze is 200 Trenton Rd, Browns Mills, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Konstantin Dateshidze |
|---|---|
| Address | 200 Trenton Rd, Browns Mills, New Jersey |
| Phone Number | 6098931200 |
| Fax Number | 6098931213 |
| Sole Proprietor | X |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1104873827 |
|---|---|
| Provider Enumeration Date | 2006-05-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 200 Trenton Rd |
|---|---|
| City | Browns Mills |
| State | New Jersey (NJ) |
| Post Code | 80151705 |
| Phone Number | 6098931200 |
| Fax Number | 6098931213 |
Provider's Primary Taxonomy Detail
| Speciality | Anesthesiology |
|---|---|
| Taxonomy | 207L00000X |
| Licence No | 25MA04546400 |
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Definition: An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 917907 | NJ | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Konstantin Dateshidze by the Centers for Medicare & Medicaid Services?
The Konstantin Dateshidze has been issued the NPI (National Provider Identifier) 1104873827. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Konstantin Dateshidze is located?
The Konstantin Dateshidze is situated at the following address: 200 Trenton Rd, Browns Mills, NJ, 80151705.
What is Konstantin Dateshidze's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Konstantin Dateshidze is Anesthesiology, and the taxonomy code that classifies this field of practice is 207L00000X.
On what date did Konstantin Dateshidze receive its 1104873827 assignment from the Centers for Medicare & Medicaid Services?
The Konstantin Dateshidze was assigned its 1104873827 on 2006-05-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Konstantin Dateshidze most recently updated or revised?
The details related to Konstantin Dateshidze, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.