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Organization

JULIE M KELLER, MD, LLC

Active
Other names
Restoration Orthopaedics
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JULIE M KELLER MD (OWNER)
(646) 373-3638
Entity
Organization

Contact information

Practice address
113 W ESSEX ST, SUITE 201, MAYWOOD, NJ 07607-1020
(201) 226-0145
(201) 226-0147
Mailing address
113 W ESSEX ST, SUITE 201, MAYWOOD, NJ 07607-1020
(201) 226-0145
(201) 226-0147

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
25MA08801100
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7338860001
MEDICARE DME PTAN
NJ
Enumeration date
09/26/2013
Last updated
07/10/2015
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