Deshmukh, Pratibha Sarjerao

Deshmukh, Pratibha Sarjerao is an individual health care provider with primary practice located at 142 Totowa Rd # 8 , Totowa NJ 07512-2745. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Deshmukh, Pratibha Sarjerao can be contacted via phone (973) 904-1000.

Contact Information

Primary practice address
142 Totowa Rd # 8 Totowa NJ 07512-2745
Fax: (973) 904-1480
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 25MA03456600 New Jersey

Profile Details

NPI number 1508802349
LBN Legal business name Deshmukh, Pratibha Sarjerao
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Mar 9th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508802349 NPPES
New Jersey MEDICAID 1303503

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