Individual
DR. VIJAYA S DESAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
145 SAINT PAULS AVE, JERSEY CITY, NJ 07306-2629
(201) 792-4286
(201) 659-1004
Mailing address
145 SAINT PAULS AVE, JERSEY CITY, NJ 07306-2629
(201) 792-4286
(201) 659-1004
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA03474300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0451801
—
NJ
01
—
MA03474300
LICENSE CERTIFICATION
NJ
Enumeration date
07/18/2006
Last updated
07/08/2007
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