Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KONSTANTIN DATESHIDZE, MD
ActiveKONSTANTIN DATESHIDZE, MD is a Anesthesiology healthcare provider located in BROWNS MILLS, New Jersey. NPI 1104873827 is currently active in the NPPES registry. Verify at CMS.
Anesthesiology · BROWNS MILLS, NJ
Registration Details
- NPI Number
- 1104873827
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 28, 2006 (20.189899085227 yrs)
- Last Updated
- Jul 8, 2007
- License
-
25MA04546400 (NJ)
Practice Information
- Address
-
200 TRENTON RDBROWNS MILLS, NJ, 080151705Browse NJ providers · Browse ZIP 08015
- Phone
- 6098931200
- Fax
- 6098931213
- Primary Specialty
-
Anesthesiology
207L00000X
Other Anesthesiology Providers in BROWNS MILLS, NJ
| Name | Credential | NPI |
|---|---|---|
| MATTHEW SCOTT SHEEDY | CRNA | 1194786335 |
| ARACHELLE JOSE | MD | 1306887864 |
| MICHAEL NEARY | MD | 1144261629 |
| DR. ROBERT N KEDDIS | MD | 1932333648 |
| ACHILLINA RIANTO | MD | 1215343868 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.