Provider Demographics
NPI:1922561463
Name:DANDAWATE, NUPUR ABHAY (MD)
Entity Type:Individual
Prefix:MS
First Name:NUPUR
Middle Name:ABHAY
Last Name:DANDAWATE
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:NORTH SHORE MEDICAL CENTER
Mailing Address - Street 2:81 HIGHLAND AVE
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970
Mailing Address - Country:US
Mailing Address - Phone:978-741-1200
Mailing Address - Fax:978-825-6312
Practice Address - Street 1:NORTH SHORE MEDICAL CENTER
Practice Address - Street 2:81 HIGHLAND AVE
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970
Practice Address - Country:US
Practice Address - Phone:978-741-1200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-11
Last Update Date:2019-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program