Ramazi Otarovich Datiashvili
Ramazi Otarovich Datiashvili is a Plastic and Reconstructive Surgery in Newark, New Jersey. Qualified in 1972, 54 years ago. Practices with University Physician Associates of New Jersey Inc, a 377-clinician group and accepts Medicare assignment. Licensed in New Jersey.
- Years since qualifying
- 54
- Licensed in
- NJ
- In the registry since
- 2006
Practice location Address checks out
90 Bergen St Doc 7200Newark, NJ 07103-2425
Phone: (973) 972-1129
Fax: (973) 972-2407
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Plastic and Reconstructive Surgery Physician (primary) | Taxonomy 2086S0122X · Licence 25MA06921300 (NJ) |
|---|
Record details
| NPI number | 1952466518 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 26, 2006 |
| Last updated in NPPES | August 21, 2009 |
Medicare enrollment
| Medicare specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
|---|---|
| Medical school | OTHER |
| Graduated | 1972 (54 years in practice) |
| Group practice | University Physician Associates Of New Jersey Inc — 377 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Newark
-
Frank Ciminello, MD
90 Bergen St Doc 7200, Newark, NJ 07103-2425 · (973) 972-8092
-
Jacquelyn Renee Kinney, MD
140 Bergen St, Newark, NJ 07103-2425 · (973) 972-5377