Individual
DR. POORNIMA DESHMUKH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
901 W MAIN ST, FREEHOLD, NJ 07728-2537
(732) 294-2875
Mailing address
901 W MAIN ST, FREEHOLD, NJ 07728-2537
(732) 294-2875
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
25MA07686500
NJ
207L00000X
Anesthesiology Physician
Primary
25MA07686500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00404428
—
NJ
Enumeration date
05/24/2006
Last updated
11/02/2021
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