Individual
MISS AUNISHA DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
445 WYOMING AVENUE, KINGSTON, PA 18704
(570) 714-3333
(570) 338-3993
Mailing address
445 WYOMING AVENUE, KINGSTON, PA 18704
(570) 714-3333
(570) 338-3993
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
1084218
PA
363AM0700X
Medical Physician Assistant
Primary
MA053713
PA
Other
Enumeration date
09/11/2008
Last updated
06/10/2014
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