# DAVDA MEDICAL GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619225455
- **Authorized official:** DR. NIYATI DAVDA MD (OWNER)
- **Authorized official phone:** (732) 956-7455

## Contact information

- **Practice address:** 1100 CENTENNIAL AVE STE 201, PISCATAWAY, NJ 08854-4152
- **Practice address phone:** (732) 956-7455
- **Mailing address:** 1100 CENTENNIAL AVE STE 201, PISCATAWAY, NJ 08854-4152

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 25MA07847200 | NJ | Yes |

## Other

- **Enumeration date:** 08/28/2012
- **Last updated:** 08/28/2012