Provider Demographics
NPI:1487692836
Name:CHATTERJEE, ABHIJIT (MD)
Entity type:Individual
Prefix:DR
First Name:ABHIJIT
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 1:11 DIAMOND HILL RD
Mailing Address - Street 2:
Mailing Address - City:MARLBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:07746-2167
Mailing Address - Country:US
Mailing Address - Phone:609-655-2700
Mailing Address - Fax:609-655-2565
Practice Address - Street 1:312 APPLEGARTH RD
Practice Address - Street 2:SUITE 207
Practice Address - City:MONROE TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08831-5347
Practice Address - Country:US
Practice Address - Phone:609-655-2700
Practice Address - Fax:609-655-2565
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-04
Last Update Date:2011-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA65587207R00000X, 207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ110183699OtherRAILROAD MEDICARE
NJ7369301Medicaid
NJ7369301Medicaid
NJ110183699OtherRAILROAD MEDICARE