Individual
DR. KEITH RICHARD DAMERAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3829 CHURCH RD STE A, MOUNT LAUREL, NJ 08054-1105
(856) 536-1515
Mailing address
1 FEDERAL ST STE 200, CAMDEN, NJ 08103-1088
(856) 356-4924
(856) 285-7201
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA06729200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8137307
—
NJ
Enumeration date
06/10/2006
Last updated
06/22/2023
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