Individual
JOHN KELLERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
50 JOYCE KILMER AVE, PISCATAWAY, NJ 08854-8045
(848) 445-2555
Mailing address
44 S 1ST AVE, HIGHLAND PARK, NJ 08904-2114
(209) 768-3006
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/12/2021
Last updated
04/12/2021
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