Individual
JAY DESAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, CPHT-ADV, CSPT
Contact information
Practice address
55 PLYMOUTH ST # 29, WHITMAN, MA 02382-1673
(732) 685-3606
Mailing address
55 PLYMOUTH ST # 29, WHITMAN, MA 02382-1673
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
RN2360844
MA
183700000X
Pharmacy Technician
PT13385
MA
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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