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Individual

INA J KELEMEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1175 ROUTE 33 STE 100, FARMINGDALE, NJ 07727-3797
(732) 851-8053
(732) 851-8052
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
(844) 373-1735
(973) 290-7495

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA06083500
NJ
208000000X
Pediatrics Physician
25MA06083500
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6811604
NJ
Enumeration date
06/08/2006
Last updated
04/04/2024
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