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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RAMAZI OTAROVICH DATIASHVILI

Active

RAMAZI OTAROVICH DATIASHVILI is a Plastic and Reconstructive Surgery healthcare provider located in NEWARK, New Jersey. NPI 1952466518 is currently active in the NPPES registry. Verify at CMS.

Plastic and Reconstructive Surgery · NEWARK, NJ

Registration Details

NPI Number
1952466518
Provider Type
Individual
Gender
Male
NPI Issued
Dec 26, 2006 (19.48980005366 yrs)
Last Updated
Aug 21, 2009
License
25MA06921300 (NJ)

Practice Information

Address
90 BERGEN ST
DOC 7200
NEWARK, NJ, 071032425
Browse NJ providers · Browse ZIP 07103
Phone
9739721129
Fax
9739722407
Primary Specialty
Plastic and Reconstructive Surgery
2086S0122X

Other Plastic and Reconstructive Surgery Providers in NEWARK, NJ

Name Credential NPI
FRANK CIMINELLO MD 1699746875
DR. EDWARD SANG KEUN LEE M.D. 1629265657
DR. ASHLEY IGNATIUK MSC, MD, FRCSC 1386051092
JACQUELYN RENEE KINNEY MD 1114675022
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.