Individual
DR. DEEP M DESAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
755 MEMORIAL PKWY, SUITE 301, PHILLIPSBURG, NJ 08865-2748
(609) 903-1500
Mailing address
328 BENCER CT, RARITAN, NJ 08869-2304
(609) 903-1500
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
11209
CT
1223G0001X
General Practice Dentistry
Primary
22DI02599200
NJ
1223G0001X
General Practice Dentistry
DS039936
PA
Other
Enumeration date
07/02/2014
Last updated
07/17/2015
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