Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 25 MB08065200 | NJ |
NPI | 1053376954 |
---|---|
Provider Name | Dr. Navtika R Desai |
First Address | Green Brook, NJ 08812-1839 |
Second Address | Hillsborough, NJ 08844-1528 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2006 |
Last Update Date | 24/10/2012 |