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Organization

KEAN CLINICAL DIAGNOSTICS LAB

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KEITH ALLAN BOSTIAN PHD. (DEAN)
(908) 216-6609
Entity
Organization

Contact information

Practice address
1075 MORRIS AVE, STEM BLDG. 5-13, UNION, NJ 07083-7137
(908) 737-7207
(908) 737-7205
Mailing address
1000 MORRIS AVE STEM BLDG. 5-13, UNION, NJ 07083-7133
(908) 737-7207
(908) 737-7205

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Enumeration date
06/18/2021
Last updated
06/18/2021
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