Individual
AJIT DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
530 NEW BRUNSWICK AVE, PERTH AMBOY, NJ 08861-3674
(732) 324-5348
(732) 324-4811
Mailing address
PO BOX 48270, NEWARK, NJ 07101-4800
(201) 818-9118
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA05873200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2835641000
AMERIHEALTH #
NJ
01
—
3K3866
HEALTHNET #
NJ
01
—
60013987
HORIZON NJ HEALTH #
NJ
01
—
8220015
GHI PPO #
NJ
01
—
P00217617
RR MDCR #
NJ
Enumeration date
06/12/2006
Last updated
04/16/2008
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