Individual
DR. ROBERT N KEDDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 TRENTON RAOD, FLOOR 1, BROWNS MILLS, NJ 08015
(609) 893-6611
Mailing address
200 TRENTON RAOD, FLOOR 1, BROWNS MILLS, NJ 08015
(609) 893-6611
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA09248300
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0359378
—
NJ
01
—
305140
MEDICARE
NJ
Enumeration date
05/08/2009
Last updated
01/07/2019
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