Individual
DR. KELLEY E CERCHIONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
9701 VENTNOR AVE STE 201, MARGATE CITY, NJ 08402-2222
(609) 822-4242
(609) 822-3211
Mailing address
9701 VENTNOR AVE STE 201, MARGATE CITY, NJ 08402-2222
(609) 822-4242
(609) 822-3211
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00717500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300050052
—
IN
05
—
7100656280
—
KY
Enumeration date
07/11/2019
Last updated
02/10/2025
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