Ramazi O Datiashvili
Surgery, Plastic and Reconstructive Surgery in Newark, New Jersey
1952466518- Practice location
- 90 Bergen St, Doc 7200, Newark, NJ 07103-2425
- Phone
- 973-972-1129
- Fax
- 973-972-2407
- Last updated
- August 21, 2009
Ramazi Otarovich Datiashvili is a Surgery, Plastic and Reconstructive Surgery based in Newark, NJ. Ramazi Otarovich Datiashvili practices in Newark, NJ. The NPI Number for Ramazi Otarovich Datiashvili is 1952466518 and holds a License No. 25MA06921300 (NJ). The current practice location address for Ramazi Otarovich Datiashvili is 90 Bergen St, Doc 7200, Newark, NJ 07103-2425 and can be reached out via phone at 973-972-1129 and via fax at 973-972-2407.
Provider Profile Details
- NPI Number
- 1952466518
- Provider Name
- Ramazi Otarovich Datiashvili
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 90 Bergen St, Doc 7200, Newark, NJ 07103-2425
- Phone Number
- 973-972-1129
- Fax Number
- 973-972-2407
- Primary Taxonomy
- Surgery, Plastic and Reconstructive Surgery · 2086S0122X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 26, 2006
- Last Update Date
- August 21, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 90 Bergen St
Doc 7200
Newark, NJ 07103-2425 - City
- Newark
- State
- New Jersey
- Zip
- 07103-2425
- Phone Number
- 973-972-1129
- Fax Number
- 973-972-2407
Provider Business Mailing Address Details
- Address
- 30 Bergen St
Admc 12 1205
Newark, NJ 07107-3000 - City
- Newark
- State
- NJ
- Zip
- 07107-3000
License Information
- License Number
- 25MA06921300
- License State
- NJ
- Taxonomy
- Surgery, Plastic and Reconstructive Surgery · 2086S0122X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ramazi O Datiashvili?
The NPI number of Ramazi O Datiashvili is 1952466518. It was assigned on December 26, 2006 and is currently active in the NPPES registry.
What is the specialty of Ramazi O Datiashvili?
Ramazi O Datiashvili is registered under the primary taxonomy Surgery, Plastic and Reconstructive Surgery (code 2086S0122X), licensed in NJ under license number 25MA06921300.
Where does Ramazi O Datiashvili practice?
The practice location is 90 Bergen St, Doc 7200, Newark, NJ 07103-2425. The office can be reached at 973-972-1129 (phone) or 973-972-2407 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1952466518 directly on the NPPES registry website.