Individual
DR. PRATIBHA SARJERAO DESHMUKH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
142 TOTOWA RD # 8, TOTOWA, NJ 07512-2745
(973) 904-1000
(973) 904-1480
Mailing address
142 TOTOWA RD # 8, TOTOWA, NJ 07512-2745
(973) 904-1000
(973) 904-1480
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
25MA03456600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1303503
—
NJ
Enumeration date
06/21/2006
Last updated
03/09/2012
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