Individual
RAJENDRA DESAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
116 MILLBURN AVE, SUITE 213, MILLBURN, NJ 07041-1943
(973) 376-8454
(973) 376-7808
Mailing address
116 MILLBURN AVE, SUITE 213, MILLBURN, NJ 07041-1943
(973) 376-8454
(973) 376-7808
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MA056427
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7316500
—
NJ
Enumeration date
08/26/2006
Last updated
07/19/2012
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