Provider Demographics
NPI:1790894707
Name:CHATTERJEE, DEELIP (MD)
Entity Type:Individual
Prefix:
First Name:DEELIP
Middle Name:
Last Name:CHATTERJEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:570 FARMDALE RD
Mailing Address - Street 2:SUITE D209
Mailing Address - City:FRANKLIN LAKES
Mailing Address - State:NJ
Mailing Address - Zip Code:07417-1138
Mailing Address - Country:US
Mailing Address - Phone:201-956-0399
Mailing Address - Fax:201-956-0399
Practice Address - Street 1:1031 MCBRIDE AVE
Practice Address - Street 2:SUITE D209
Practice Address - City:WEST PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07424-2559
Practice Address - Country:US
Practice Address - Phone:973-785-3455
Practice Address - Fax:973-785-4353
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2017-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA61819207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6944400Medicaid
NJ6944400Medicaid