Individual
DIANNE THERESA THOMAS KEKOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
497 MOUNT PROSPECT AVE, NEWARK, NJ 07104-2903
(973) 980-1868
Mailing address
327 EDGEWOOD RD, LINDEN, NJ 07036-5319
(973) 980-1868
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ15036100
NJ
Other
Enumeration date
03/19/2024
Last updated
03/18/2025
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