Individual
DR. KELLY ANN OLIVEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
349 EAST NORTHFIELD ROAD, LIVINGSTON, NJ 07039
(973) 992-9214
(973) 992-4625
Mailing address
66 CLINTON AVENUE, CLIFTON, NJ 07011
(973) 220-6104
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00291700
NJ
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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