Individual
AMITA S. DESAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
383 WEST STATE STREET, CATHOLIC CHARITIES, TRENTON, NJ 08618
(609) 394-5181
(609) 386-4703
Mailing address
11 NOLEN CIR, VOORHEES, NJ 08043-4110
(856) 264-9025
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MA054053
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA054053
NJ MEDICAL LICENSE
NJ
Enumeration date
01/05/2007
Last updated
03/07/2023
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