Individual
DR. KEITH MICHAEL SPELLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-7960
Mailing address
148 BEACHVIEW AVE, SANTA CRUZ, CA 95060-3008
(215) 520-2318
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A107892
CA
Other
Enumeration date
02/25/2009
Last updated
11/26/2013
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