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Organization
JULIE M KELLER, MD, LLC
Active
Organization
JULIE M KELLER, MD, LLC
Active
Other names
Restoration Orthopaedics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIE M KELLER MD (OWNER)
(646) 373-3638
Entity
Organization
Contact information
Practice address
113 W ESSEX ST, SUITE 201, MAYWOOD, NJ 07607-1020
(201) 226-0145
(201) 226-0147
Mailing address
113 W ESSEX ST, SUITE 201, MAYWOOD, NJ 07607-1020
(201) 226-0145
(201) 226-0147
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
25MA08801100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7338860001
MEDICARE DME PTAN
NJ
Enumeration date
09/26/2013
Last updated
07/10/2015
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