Individual
DEVASHISH J. ANJARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
90 BERGEN ST, DOC 7100, NEWARK, NJ 07103-2425
(973) 972-2400
(973) 972-6803
Mailing address
30 BERGEN ST, ADMC 12 1205, NEWARK, NJ 07107-3000
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
25MA06931300
NJ
2086S0127X
Trauma Surgery Physician
25MA06931300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0100935
—
NJ
Enumeration date
07/04/2006
Last updated
07/02/2013
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