Individual
DR. NISHA DAVENDRA DAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
703 MAIN ST, ST JOSEPHS REGIONAL MEDICAL CENTER, DEPT. ANESTHESIA, PATERSON, NJ 07503-2621
(973) 754-2323
Mailing address
32 VALLEY RD, SUCCASUNNA, NJ 07876-1237
(973) 615-7569
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MB08973500
NJ
207L00000X
Anesthesiology Physician
OS12052
FL
Other
Enumeration date
12/29/2008
Last updated
03/12/2013
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