Organization
THORACIC MEDICAL ASSOCIATES, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIREN DESAI M.D. (OWNER)
(201) 997-0808
Entity
Organization
Contact information
Practice address
221 KEARNY AVE, KEARNY, NJ 07032-2437
(201) 997-0808
(201) 997-0013
Mailing address
221 KEARNY AVE, KEARNY, NJ 07032-2437
(201) 997-0808
(201) 997-0013
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA057263
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5560403
—
NJ
Enumeration date
10/10/2006
Last updated
08/22/2020
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