Organization
JOHN V. KELLY MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN KELLY MD (PRESIDENT)
(973) 338-1900
Entity
Organization
Contact information
Practice address
382 W PASSAIC AVE, BLOOMFIELD, NJ 07003-5552
(973) 338-1900
Mailing address
382 W PASSAIC AVE, BLOOMFIELD, NJ 07003-5552
(973) 338-1900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/27/2006
Last updated
08/22/2020
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