Provider Demographics
NPI:1851597959
Name:CHATTERJEE, SHREE (RD,LDN)
Entity Type:Individual
Prefix:MS
First Name:SHREE
Middle Name:
Last Name:CHATTERJEE
Suffix:
Gender:F
Credentials:RD,LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:273 ACORN LN
Mailing Address - Street 2:
Mailing Address - City:NORTH WALES
Mailing Address - State:PA
Mailing Address - Zip Code:19454-2700
Mailing Address - Country:US
Mailing Address - Phone:215-699-8775
Mailing Address - Fax:
Practice Address - Street 1:TEMPLE UNIVERSITY HOSPITAL
Practice Address - Street 2:3401 N. BRIAD STRRET
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19140
Practice Address - Country:US
Practice Address - Phone:215-707-2975
Practice Address - Fax:215-707-3959
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-25
Last Update Date:2011-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN001040133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA18391993OtherDRIVER'S LICENSE