Individual
PRITI DESAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
114 BROOK AVE, PASSAIC, NJ 07055-4402
(973) 513-2060
Mailing address
114 BROOK AVE, PASSAIC, NJ 07055-4402
(973) 513-2060
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
115845
NJ
Other
Enumeration date
01/03/2017
Last updated
05/11/2017
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