KONSTANTIN DATESHIDZE

BROWNS MILLS, NJ
NPI1104873827
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy207L00000X Anesthesiology
(Licence: NJ  25MA04546400)
Enumeration Date2006-05-28
Last Update Date2007-07-08
Business Address
KONSTANTIN DATESHIDZE MD
200 TRENTON RD
BROWNS MILLS, NJ 08015-1705
Phone number: 609-893-1200
Mailing Address
KONSTANTIN DATESHIDZE MD
200 TRENTON RD
BROWNS MILLS, NJ 08015-1705
Phone number: 609-893-1200
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