Individual
DISHA DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
703 MAIN ST, PATERSON, NJ 07503-2621
(973) 754-2000
Mailing address
10 BERNICE ST, EDISON, NJ 08820-1727
(732) 675-4324
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
26NR20263600
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/16/2024
Last updated
06/12/2025
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