Individual
DR. STEPHEN KELLEHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
312 ACADEMY ST, JERSEY CITY, NJ 07306-4441
(201) 216-9191
Mailing address
312 ACADEMY ST, JERSEY CITY, NJ 07306-4441
(201) 216-9191
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
22DI02935400
NJ
Other
Enumeration date
05/13/2025
Last updated
05/13/2025
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