Individual
ELIZABETH KEETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
865 STONE ST, RAHWAY, NJ 07065-2742
(732) 381-4200
Mailing address
3 CENTURY DR, PARSIPPANY, NJ 07054-4610
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00310400
NJ
Other
Enumeration date
06/26/2013
Last updated
05/20/2014
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