Individual
JAGDIP DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 CLARA MAASS DR, ANESTHESIA DEPARTMENT, BELLEVILLE, NJ 07109-3550
(908) 705-6857
Mailing address
51 RARITAN REACH RD, SOUTH AMBOY, NJ 08879-3440
(732) 709-3215
(908) 994-5061
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
25MA07787200
NJ
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
25MA07787200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
NJ
Enumeration date
06/22/2006
Last updated
02/19/2008
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