Individual
DR. HORTENSIA KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
851 MOUNT PROSPECT AVE, NEWARK, NJ 07104-3228
(973) 481-0501
(973) 481-0503
Mailing address
851 MOUNT PROSPECT AVE, NEWARK, NJ 07104-3228
(973) 481-0501
(973) 481-0503
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB08441500
NJ
Other
Enumeration date
07/16/2008
Last updated
12/16/2010
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