Organization
SPREAD MED
Active
Organization
SPREAD MED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND KELLER JR. DO (OWNER)
(207) 929-0576
Entity
Organization
Contact information
Practice address
9 CINDY LN, MARMORA, NJ 08223-1169
(609) 536-9864
Mailing address
9 CINDY LN, MARMORA, NJ 08223-1169
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/15/2021
Last updated
09/15/2021
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