Individual
NISHU DESAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
111 CENTRAL AVE DEPT FLOORD7, NEWARK, NJ 07102-1909
(973) 877-5465
Mailing address
111 CENTRAL AVE DEPT FLOOR7, NEWARK, NJ 07102-1909
(973) 877-5465
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00384600
NJ
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/23/2021
Last updated
02/14/2025
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