Organization
DR. HORTENSIA KELLY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HORTENSIA KELLY D.O (PHYSICIAN)
(973) 877-5222
Entity
Organization
Contact information
Practice address
111 CENTRAL AVE, SUITE 519, NEWARK, NJ 07102-1909
(973) 877-5222
Mailing address
111 CENTRAL AVE, SUITE 519, NEWARK, NJ 07102-1909
(973) 877-5222
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB08441500
NJ
Other
Enumeration date
07/01/2015
Last updated
01/21/2016
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