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Individual

BANKIMCHANDRA D DESAI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3815 PARK AVE, EDISON, NJ 08820-2503
(732) 548-3933
Mailing address
3815 PARK AVE, EDISON, NJ 08820-2503
(732) 548-3933

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA04452000
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0017469
NJ
01
38319
UHP NON PAR #
NJ
01
P00650711
RAILROAD MEDICARE
NJ
Enumeration date
07/11/2006
Last updated
07/07/2010
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