Organization
JIGNYASA DESAI D.O. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIGNYASA DESAI D.O. (PHYSICIAN)
(201) 898-0481
Entity
Organization
Contact information
Practice address
590 NEWARK AVE, JERSEY CITY, NJ 07306-2302
(855) 443-2544
Mailing address
PO BOX 310, EDGEWATER, NJ 07020-0310
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
11/29/2012
Last updated
11/16/2017
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