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Individual

BAKUL DESAI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1625 JFK BLVD, NORTH BERGEN, NJ 07047
(201) 216-3060
(201) 499-0253
Mailing address
1625 JKF BLVD, NORTH BERGEN, NJ 07047-6302
(201) 216-3060
(201) 499-0253

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25MA03746000
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3705307
NJ
Enumeration date
08/31/2006
Last updated
11/05/2024
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