MEDICARE: DEELIP CHATTERJEE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RP1001X	Pulmonary Disease Physician	MA61819	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1790894707
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEELIP CHATTERJEE M.D.

Provider Business Mailing Address
First Line	:	570 FARMDALE RD
Second Line	:	SUITE D209
City	:	FRANKLIN LAKES
State	:	NJ
Zip	:	07417-1138
Country	:	US
Telephone Number	:	201-956-0399
Fax Number	:	201-956-0399

Provider Business Practice Location Address
First Line	:	1031 MCBRIDE AVE
Second Line	:	SUITE D209
City	:	WEST PATERSON
State	:	NJ
Zip	:	07424-2559
Country	:	US
Telephone Number	:	973-785-3455
Fax Number	:	973-785-4353

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	03/03/2017

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