Ramazi Otarovich Datiashvili is a plastic and reconstructive surgery surgery in Newark, NJ with 52 years of experience. The provider is a surgeon who specializes in plastic and reconstructive surgery. Ramazi Otarovich Datiashvili NPI is 1952466518. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
90 BERGEN ST
DOC 7200
NEWARK, NJ
ZIP 07103-425
Phone: (973) 972-1129
Fax: (973) 972-2407
The NPI 1952466518 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 12/26/2006 and was last updated on 8/21/2009.