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Individual

DR. ANIL DESAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
748 KINGS HWY, WOODBURY, NJ 08096-3157
(856) 848-4998
(856) 686-7344
Mailing address
1307 WHITE HORSE RD, SUITE A-102, VOORHEES, NJ 08043-2176
(856) 770-0504
(856) 770-0395

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MA32297
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1972600
NJ
Enumeration date
07/13/2005
Last updated
01/22/2015
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