Individual
DR. MAHESH R DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 MILLBURN AVENUE, SUITE M2, MILLBURN, NJ 07041
(973) 467-5900
(973) 467-8169
Mailing address
120 MILLBURN AVENUE, SUITE M2, MILLBURN, NJ 07041-1935
(973) 467-5900
(973) 467-8169
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
036146266
IL
207RG0100X
Gastroenterology Physician
Primary
25MA03499900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3046109
—
NJ
Enumeration date
09/22/2006
Last updated
08/27/2018
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