Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Konstantin Dateshidze, MD

Individual provider Anesthesiology Physician · NPI 1104873827

Konstantin Dateshidze, MD is an Anesthesiology Physician in Browns Mills, New Jersey. Licensed in New Jersey. Registered with an NPI since 2006.

Licensed in
NJ
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

200 Trenton Rd
Browns Mills, NJ 08015-1705
Phone: (609) 893-1200
Fax: (609) 893-1213
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 25MA04546400 (NJ)

Record details

NPI number1104873827
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 28, 2006
Last updated in NPPESJuly 13, 2026
Mailing address200 Trenton Rd, Browns Mills, NJ 08015-1705

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