Provider Demographics
NPI:1346627486
Name:CHAKRABORTY, BAIDARBHI (MD)
Entity Type:Individual
Prefix:DR
First Name:BAIDARBHI
Middle Name:
Last Name:CHAKRABORTY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P O BOX 500
Mailing Address - Street 2:
Mailing Address - City:HACKETTSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07840-0500
Mailing Address - Country:US
Mailing Address - Phone:908-979-1010
Mailing Address - Fax:908-979-9934
Practice Address - Street 1:100 MADISON AVENUE
Practice Address - Street 2:DEPARTMENT OF PATHOLOGY
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-6136
Practice Address - Country:US
Practice Address - Phone:973-971-5271
Practice Address - Fax:973-270-7370
Is Sole Proprietor?:No
Enumeration Date:2015-04-28
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA11224700207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology