Organization
MAUREEN P KELLY MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAUREEN P KELLY M.D. (PRESIDENT/MEDICAL DIRECTOR)
(215) 829-8110
Entity
Organization
Contact information
Practice address
822 PINE ST, SUITE 4B, PHILADELPHIA, PA 19107-6187
(215) 829-8110
(215) 829-8119
Mailing address
822 PINE ST, SUITE 4B, PHILADELPHIA, PA 19107-6187
(215) 829-8110
(215) 829-8119
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD047210L
PA
Other
Enumeration date
10/14/2010
Last updated
04/28/2023
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