Basic Information
Provider Information
NPI: 1003155623
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHATTERJEE
FirstName: GEETANJALI
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: NP
OtherOrganizationName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1400 N WASHINGTON ST STE 300
Address2:  
City: WILMINGTON
State: DE
PostalCode: 198011024
CountryCode: US
TelephoneNumber: 3023205700
FaxNumber:  
Practice Location
Address1: 1400 N WASHINGTON ST STE 300
Address2:  
City: WILMINGTON
State: DE
PostalCode: 198011024
CountryCode: US
TelephoneNumber: 3023205700
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/01/2013
LastUpdateDate: 11/13/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000XLB-0000272DEY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 
363LC0200XLB-0000272DEN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCritical Care Medicine

No ID Information.


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