Individual
ANISH DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
395 GRAND ST, JERSEY CITY, NJ 07302-4238
(201) 915-2065
Mailing address
395 GRAND ST, JERSEY CITY, NJ 07302-4238
(201) 915-2000
(201) 915-2269
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
25MA12021800
NJ
2084P0800X
Psychiatry Physician
Primary
4301116880
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301116880
MI
Other
Enumeration date
06/10/2016
Last updated
08/01/2024
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