Individual
DR. PAUL MITCHELL KELLEHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
49 W RAYBURN RD, MILLINGTON, NJ 07946-1502
(908) 542-1792
Mailing address
49 W RAYBURN RD, MILLINGTON, NJ 07946-1502
(908) 542-1792
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
206597
NY
208100000X
Physical Medicine & Rehabilitation Physician
25MB06963200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02057174
—
NY
Enumeration date
07/27/2006
Last updated
04/29/2015
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