NPI

Corinne Cecile Datchi

NPI 1194108498

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
PhD, ABPP
Type
Individual
Enumeration date
2015-07-04
Last updated
2015-07-04

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Specialties

Licenses

License NJ
35SI00535000
License 2
ABPP # 7521

Location

Practice location
35 Deforest Ave
City
Summit NJ
Postal code
07901-2155
Phone
(812) 360-5143

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

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