Individual
PETER KARL KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1578 WILLIAMSBRIDGE RD, SUITE 1A, BRONX, NY 10461-6265
(718) 892-7817
(718) 892-7710
Mailing address
1578 WILLIAMSBRIDGE RD, SUITE 1A, BRONX, NY 10461-6265
(718) 892-7817
(718) 892-7710
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
167520
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01241092
—
NY
Enumeration date
08/08/2006
Last updated
07/08/2007
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