Ramazi Otarovich Datiashvili in Newark - Plastic And Reconstructive Surgery
Ramazi Otarovich Datiashvili - NPI 1952466518
Ramazi Otarovich Datiashvili is a Plastic And Reconstructive Surgery in Newark, New Jersey. Ramazi Otarovich Datiashvili practices all healthcare services and medical treatments related to Plastic And Reconstructive Surgery. The NPI Number for Ramazi Otarovich Datiashvili is 1952466518. The last update date is 2009-08-21.
Ramazi Otarovich Datiashvili's current location address is 90 Bergen St, Newark, New Jersey. You can contact this provider via phone number 9739721129 and fax number 9739722407. The mailing address for Ramazi Otarovich Datiashvili is 90 Bergen St, Newark, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ramazi Otarovich Datiashvili |
|---|---|
| Address | 90 Bergen St, Newark, New Jersey |
| Phone Number | 9739721129 |
| Fax Number | 9739722407 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1952466518 |
|---|---|
| Provider Enumeration Date | 2006-12-26 |
| Last Updated Date | 2009-08-21 |
Provider Mailing Address Detail
| Address | 90 Bergen St |
|---|---|
| City | Newark |
| State | New Jersey (NJ) |
| Post Code | 71032425 |
| Phone Number | 9739721129 |
| Fax Number | 9739722407 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic And Reconstructive Surgery |
|---|---|
| Taxonomy | 2086S0122X |
| Licence No | 25MA06921300 |
|
Definition: A surgeon who specializes in plastic and reconstructive surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8516006 | NJ | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Ramazi Otarovich Datiashvili?
The Ramazi Otarovich Datiashvili has been issued the NPI (National Provider Identifier) 1952466518 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Ramazi Otarovich Datiashvili?
The Ramazi Otarovich Datiashvili is situated at 90 Bergen St, in the city of Newark, state of NJ, with the zip code 71032425.
What is the Ramazi Otarovich Datiashvili's specialty and taxonomy code?
The Ramazi Otarovich Datiashvili's specialty is Plastic And Reconstructive Surgery, and the corresponding taxonomy code is 2086S0122X.
On what date did the Centers for Medicare & Medicaid Services issue the 1952466518 to Ramazi Otarovich Datiashvili?
The Ramazi Otarovich Datiashvili received its 1952466518 assignment from the Centers for Medicare & Medicaid Services on 2006-12-26.
As of what date were the details related to Ramazi Otarovich Datiashvili most recently updated or revised?
The information pertaining to Ramazi Otarovich Datiashvili, including its address, specialty, and other relevant details, was last updated or revised on 2009-08-21.