RAMAZI DATIASHVILI

Surgery - Plastic and Reconstructive Surgery

Active Individual
NPI: 1952466518

Practice Address

90 BERGEN ST
DOC 7200
Newark, NJ 07103

Phone: (973) 972-1129

Specialties

Specialty Code Primary License
Surgery - Plastic and Reconstructive Surgery 2086S0122X Yes 25MA06921300 (NJ)

Frequently Asked Questions

NPI 1952466518 is the National Provider Identifier for RAMAZI DATIASHVILI, a Surgery - Plastic and Reconstructive Surgery provider located in Newark, NJ. This NPI was enumerated on December 26, 2006.
RAMAZI DATIASHVILI practices at 90 BERGEN ST, DOC 7200, Newark, NJ 07103.

Quick Facts

NPI
1952466518
Type
Individual
Enumerated
Dec 26, 2006
Last Updated
Aug 21, 2009

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