Individual
SHIVANI DESAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
37 PROGRESS ST, EDISON, NJ 08820-1179
(908) 755-1292
Mailing address
37 PROGRESS ST, EDISON, NJ 08820-1179
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00796100
NJ
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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