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Dr. Amita Desai, MD
Specialist in Teaneck, New Jersey
NPI 1780685362

Amita Desai is a Specialist based in Demarest, NJ. Amita Desai practices in Teaneck, NJ and has the professional credentials of MD. The NPI Number for Amita Desai is 1780685362 and holds a License No. 25MA06578700 (New Jersey).

The current practice location address for Amita Desai is 718 Teaneck Rd, Teaneck, NJ and can be reached out via phone at 201-833-3000.

Location: 718 Teaneck Rd, Teaneck, NJ, 07627-2002
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780685362
Provider Name
Amita Desai
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
718 Teaneck Rd, Teaneck, NJ, 07627-2002
Phone Number
201-833-3000
Fax Number
Provider Enumeration Date
08/09/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
037470 01 NJ MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
718 Teaneck Rd
City
Teaneck
State
New Jersey
Zip
07666-4245
Phone Number
201-833-3000
Fax Number
person
Provider Business Mailing Address Details
Address
718 Teaneck Rd
City
Teaneck
State
New Jersey
Zip
07666-4245
Phone Number
201-833-3000
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
25MA06578700 (New Jersey)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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