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Contact Information

JAGDIP DESAI, MD
256 STUYVESANT AVENUE
LYNDHURST, NJ07071
 Phone: 888-521-0688
 Fax:
 Website: https://coremedicalwellness.com/
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for JAGDIP DESAI · (Male)

NPI # 1194761593
Status Active
Credentials MD
Entity Individual
Enumeration date 06/22/2006
Last updated 02/19/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MA07787200
  • NJ Medicaid PENDING
Hospital affiliation(s)
  • RIVERVIEW MEDICAL CENTER - (Acute Care)
    ONE RIVERVIEW PLAZA
    RED BANK, NJ 07701
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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