| Dr Ujjwal Kumar Datta, DPM | |
|
4 E High St, Bound Brook, NJ 08805-1946 | |
| (732) 537-9200 | |
| (732) 356-3750 |
| Full Name | Dr Ujjwal Kumar Datta |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 26 Years |
| Location | 4 E High St, Bound Brook, New Jersey |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760486385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0131X | Podiatrist - Foot Surgery | 25MD00275800 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Raritan Bay Medical Center Perth Amboy Division | Perth amboy, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Jersey Medical Center Inc. | 1456301241 | 32 |
| Central Jersey Medical Center Inc. | 1456301241 | 32 |
| Provider Name | Central Jersey Medical Center Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1932974250 PECOS PAC ID: 1456301241 Enrollment ID: O20050712000392 |
| Provider Name | Garden State Podiatry, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1194084640 PECOS PAC ID: 8123278504 Enrollment ID: O20121019000450 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ujjwal Kumar Datta, DPM 4 E High St, Bound Brook, NJ 08805-1946 Ph: (732) 537-9200 | Dr Ujjwal Kumar Datta, DPM 4 E High St, Bound Brook, NJ 08805-1946 Ph: (732) 537-9200 |
Dr. Roy Robert Henderson, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 60 West Union Ave, Bound Brook, NJ 08805 Phone: 732-469-3668 Fax: 732-469-3650 | |
Garden State Podiatry, Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 4 E High St, Bound Brook, NJ 08805 Phone: 732-537-9200 Fax: 732-356-3750 |