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Individual

KELCEY MAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
44 STATE RT 23 STE 6, RIVERDALE, NJ 07457-1603
(973) 248-9199
Mailing address
44 STATE RT 23 STE 6, RIVERDALE, NJ 07457-1603
(973) 248-9199

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
350533
NY

Other

Enumeration date
01/04/2023
Last updated
03/22/2024
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