Individual
DR. PATRICK RAYMOND KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 N. CAROLINE STREET, JHOC 8152C, BALTIMORE, MD 21287-0006
(518) 878-6703
Mailing address
1 W RIDGEWOOD AVE STE 110, PARAMUS, NJ 07652-2361
(201) 444-9522
(201) 444-9277
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
25MA13004100
NJ
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/21/2019
Last updated
04/21/2026
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