Individual
STEVEN JOSEPH KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
799 BLOOMFIELD AVE STE 304, VERONA, NJ 07044-1301
(973) 618-9990
(973) 618-9991
Mailing address
PO BOX 95000 LB#7550, PHILADELPHIA, PA 19195-7550
(844) 362-1735
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MB11401400
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2019
Last updated
08/08/2022
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