KONSTANTIN DATESHIDZE, MD

Anesthesiology

Active Individual
NPI: 1104873827

Practice Address

200 TRENTON RD
Browns Mills, NJ 08015

Phone: (609) 893-1200

Specialties

Specialty Code Primary License
Anesthesiology 207L00000X Yes 25MA04546400 (NJ)

Frequently Asked Questions

NPI 1104873827 is the National Provider Identifier for KONSTANTIN DATESHIDZE, MD, a Anesthesiology provider located in Browns Mills, NJ. This NPI was enumerated on May 28, 2006.
KONSTANTIN DATESHIDZE, MD practices at 200 TRENTON RD, Browns Mills, NJ 08015.

Quick Facts

NPI
1104873827
Type
Individual
Enumerated
May 28, 2006
Last Updated
Jul 8, 2007

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