Individual
DR. KEITH F DOCKERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
223 N VAN DIEN AVE, RIDGEWOOD, NJ 07450-2726
(201) 447-8210
Mailing address
19 GLENWOOD DR, SADDLE RIVER, NJ 07458-3303
(201) 485-7893
Taxonomy
Speciality
Code
Description
License number
State
207UN0902X
Nuclear Imaging & Therapy Physician
25MA09089800
NJ
2085R0202X
Diagnostic Radiology Physician
244698
NY
2085R0202X
Diagnostic Radiology Physician
Primary
25MA09089800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0297453
—
NJ
Enumeration date
08/07/2006
Last updated
03/04/2026
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