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Provider Information for 1265863203

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. MEGHA NIRAV DESAI DDS

Gender: MALE

Individual NPI: 1265863203

Calendar   Last Updated:  2013-12-02
  Certification Date: 

Details

Name Value
NPI 1265863203
Enumeration Date 2013-12-02
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 184 MARY CT
BRIDGEWATER, NJ 08807-5652
United States

Phone: 201-675-3936 | Fax:
View Map External Link
Primary Practice Address 184 MARY CT
BRIDGEWATER, NJ 08807-5652
United States

Phone: 201-675-3936 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist NJ 22DI02554700