Individual
DR. MARC S KELLER
Active
Individual
DR. MARC S KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
MA07602300
NJ
2085P0229X
Pediatric Radiology Physician
Primary
MD026831E
PA
2085R0204X
Vascular & Interventional Radiology Physician
MD026831E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
948068
—
NJ
Enumeration date
09/29/2006
Last updated
04/18/2013
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