Individual
MARTHA KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 REHILL AVENUE, SOMERVILLE, NJ 08876-2598
(908) 685-2200
Mailing address
379 CAMPUS DR FL 4, SOMERSET, NJ 08873-1161
(732) 937-8939
(732) 418-8372
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NN05732600
NJ
Other
Enumeration date
03/20/2008
Last updated
07/15/2024
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