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Contact Information

POORNIMA DESHMUKH, MD
901 W MAIN ST
FREEHOLD TOWNSHIP, NJ07728-2537
 Phone: 732-294-2875
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for POORNIMA DESHMUKH · (Female)

NPI # 1609821776
Status Active
Credentials MD
Entity Individual
Enumeration date 05/24/2006
Last updated 11/02/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MA07686500
  • NJ Medicaid 00404428
Hospital affiliation(s)
  • CENTRASTATE MEDICAL CENTER - (Acute Care)
    901 WEST MAIN STREET
    FREEHOLD, NJ 07728
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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