Individual
DR. JEREMY ISAAC KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
119 WINDSOR ST, CAMBRIDGE, MA 02139-3647
(617) 665-3600
Mailing address
119 WINDSOR ST, CAMBRIDGE, MA 02139-3647
(617) 665-3600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
225297
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2153904
—
MA
Enumeration date
12/07/2007
Last updated
11/28/2012
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