Organization
FORT LEE PAIN MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIGNYASA DESAI DO (OWNER)
(201) 342-1205
Entity
Organization
Contact information
Practice address
1638 SCHLOSSER ST STE D4, FORT LEE, NJ 07024-5650
(855) 443-2544
Mailing address
PO BOX 350, EDGEWATER, NJ 07020-0350
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
06/27/2017
Last updated
05/15/2019
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