Individual
DR. MATTHEW SCOTT KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
833 CHESTNUT ST, SUITE 740, PHILADELPHIA, PA 19107-4414
(215) 955-6680
(215) 503-2556
Mailing address
833 CHESTNUT ST, SUITE 740, PHILADELPHIA, PA 19107-4414
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD435341
PA
207N00000X
Dermatology Physician
MT187716
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0202215
—
NJ
05
—
1023235690001
—
PA
Enumeration date
05/16/2007
Last updated
07/18/2014
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