Individual
DR. AYAN CHATTERJEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 MALL BLVD, KING OF PRUSSIA, PA 19406-2902
(866) 407-1852
Mailing address
861 N LEITHGOW ST, PHILADELPHIA, PA 19123-2127
(919) 597-8747
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
259852
MA
207W00000X
Ophthalmology Physician
2018-00306
NC
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
Primary
2018-00306
NC
Other
Enumeration date
06/10/2014
Last updated
01/27/2019
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