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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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