# JULIE M KELLER, MD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Restoration Orthopaedics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679900302
- **Authorized official:** DR. JULIE M KELLER MD (OWNER)
- **Authorized official phone:** (646) 373-3638

## Contact information

- **Practice address:** 113 W ESSEX ST, SUITE 201, MAYWOOD, NJ 07607-1020
- **Practice address phone:** (201) 226-0145
- **Practice address fax:** (201) 226-0147
- **Mailing address:** 113 W ESSEX ST, SUITE 201, MAYWOOD, NJ 07607-1020
- **Mailing address phone:** (201) 226-0145
- **Mailing address fax:** (201) 226-0147

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 25MA08801100 | NJ | Yes |

## Other

- **Enumeration date:** 09/26/2013
- **Last updated:** 07/10/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 7338860001 | MEDICARE DME PTAN | NJ |