Provider Demographics
NPI:1851514426
Name:BANDYOPADHYAY, SAPTARSHI (MD)
Entity Type:Individual
Prefix:DR
First Name:SAPTARSHI
Middle Name:
Last Name:BANDYOPADHYAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:MR
Other - First Name:SAPTARSHI
Other - Middle Name:
Other - Last Name:BANERJEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2100 WESCOTT DR RM 300A
Mailing Address - Street 2:3RD FLOOR ROOM 300A
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-4604
Mailing Address - Country:US
Mailing Address - Phone:908-237-5486
Mailing Address - Fax:908-237-5488
Practice Address - Street 1:2100 WESCOTT DRIVE ROOM 300A
Practice Address - Street 2:3RD FLOOR ROOM 300A
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822
Practice Address - Country:US
Practice Address - Phone:908-237-5486
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2020-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125042932207R00000X
MI4301093956207R00000X
NJ25MA09839800207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4301093956OtherMICHIGAN
NJ25MA09839800OtherDIVISION OF CONSUMER AFFAIRS
MI1851514426OtherNPI
NY245455-1OtherNEW YORK