Individual
DR. ADAM J KERESTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(215) 456-8520
(215) 455-1933
Mailing address
PO BOX 412826, BOSTON, MA 02241-2526
(844) 362-1735
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MB11525800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT018133
OSTEOPATHIC GRADUATE MEDICAL TRAINING LICENSE
PA
Enumeration date
06/28/2017
Last updated
02/01/2024
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