Ushtavaity Davar Canteenwalla, MS, CGC

NPI #1205633997 in Glen Ridge, New Jersey

Provider Information

NPI Number: 1205633997
Entity Type: Individual
Name: Ushtavaity Davar Canteenwalla, MS, CGC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Genetic Counselor, MS
Credential: MS, CGC
Enumeration Date: Feb 28, 2025
Last Updated: Feb 28, 2025

Practice Location

Address: 298 FOREST AVE
City: Glen Ridge
State: New Jersey
ZIP Code: 07028-1808
Phone: (908) 509-7731

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Genetic Counselor, MS	170300000X	Primary

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