Provider Demographics
NPI:1164684544
Name:ABHIJIT CHATTERJEE MD PC
Entity Type:Organization
Organization Name:ABHIJIT CHATTERJEE MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ABHIJIT
Authorized Official - Middle Name:
Authorized Official - Last Name:CHATTERJEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-772-0592
Mailing Address - Street 1:265 CANDLEWYCK CT
Mailing Address - Street 2:
Mailing Address - City:MORGANVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07751-4252
Mailing Address - Country:US
Mailing Address - Phone:732-772-0592
Mailing Address - Fax:
Practice Address - Street 1:312 APPLEGARTH RD
Practice Address - Street 2:SUITE 207
Practice Address - City:MONROE TWP
Practice Address - State:NJ
Practice Address - Zip Code:08831-3738
Practice Address - Country:US
Practice Address - Phone:609-655-2700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-27
Last Update Date:2008-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06558700207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Single Specialty