Individual provider · NPI-1
Sanjeev Dattatraya Athale, MD
Radiology, Diagnostic Radiology · Camden, NJ
NPI number1407836935
StatusActive
Last updated in NPPESApr 27, 2026
Details
- NPI
- 1407836935
- Entity type
- Individual (NPI-1)
- Name
- Sanjeev Dattatraya Athale
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 19, 2006
- Certification date
- Apr 27, 2026
- Last updated
- Apr 27, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | 25MA11615900 | NJ | Yes |
| 2085N0904X | 233479 | NY | ||
| 2085N0904X | A114198 | CA |
Practice location
1 Cooper PlzCamden, NJ 08103-1461
Phone 856-342-2380
Mailing address
1 Federal St Ste 200Camden, NJ 08103-1088
Phone 482-886-9358
Other practice locations
1 Plainsboro Road
Plainsboro, NJ 08536-1913
Plainsboro, NJ 08536-1913
Phone 609-853-6049 · Fax 609-853-7221
14 Prospect St
Milford, MA 01757-3003
Milford, MA 01757-3003
Phone 508-473-1190 · Fax 508-634-3687
55 Lake Ave N
Worcester, MA 01655-0002
Worcester, MA 01655-0002
Phone 508-334-3850
68a Main St
Medway, MA 02053-1775
Medway, MA 02053-1775
Phone 508-488-3635
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