Individual
DR. DAVID B KELLY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-7471
(973) 926-6452
Mailing address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-7471
(973) 926-6452
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA11136800
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2018
Last updated
10/15/2021
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