Individual
SAMONE DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9225 KENNEDY BLVD STE B, NORTH BERGEN, NJ 07047-5361
(201) 453-2800
Mailing address
6603 HANA RD, EDISON, NJ 08817-2546
(848) 219-6415
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00497300
NJ
Other
Enumeration date
01/05/2019
Last updated
01/05/2019
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