# SPREAD MED

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487324034
- **Authorized official:** DR. RAYMOND KELLER JR. DO (OWNER)
- **Authorized official phone:** (207) 929-0576

## Contact information

- **Practice address:** 9 CINDY LN, MARMORA, NJ 08223-1169
- **Practice address phone:** (609) 536-9864
- **Mailing address:** 9 CINDY LN, MARMORA, NJ 08223-1169

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/15/2021
- **Last updated:** 09/15/2021