Basic Information
| Provider Information | |||||||||
| NPI: | 1689760290 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CHATTERJEE | ||||||||
| FirstName: | UMA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 824804 | ||||||||
| Address2: | |||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191824804 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3026913800 | ||||||||
| FaxNumber: | 3027782250 | ||||||||
| Practice Location | |||||||||
| Address1: | 620 STANTON CHRISTIANA RD STE 304 | ||||||||
| Address2: | |||||||||
| City: | NEWARK | ||||||||
| State: | DE | ||||||||
| PostalCode: | 197132135 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3026913800 | ||||||||
| FaxNumber: | 3027782250 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/04/2006 | ||||||||
| LastUpdateDate: | 06/02/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 06/02/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | C1000214 | DE | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
ID Information
| ID | Type | State | Issuer | Description | 1420195 | 01 | DE | CIGNA | OTHER | 222938634 | 01 | DE | AETNA | OTHER | 222938634 | 01 | DE | BCBS | OTHER | 222938634 | 01 | DE | UNITED HEALTHCARE | OTHER | 193013 | 01 | DE | COVENTRY | OTHER | 0000200401 | 05 | DE | MEDICAID |