Individual
KELLY EDOBA EDEBIRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
718 TEANECK RD, TEANECK, NJ 07666-4245
(201) 833-3000
(201) 833-7231
Mailing address
3 UNIVERSITY PLZ STE 205, HACKENSACK, NJ 07601-6208
(201) 833-3599
(201) 227-6207
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA10602800
NJ
Other
Enumeration date
04/04/2016
Last updated
04/21/2026
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