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1003056433
KEITH MICHAEL SPELLMAN
NEWARK, NJ
NPI
1003056433
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: CA A107892)
Enumeration Date
2009-02-25
Last Update Date
2013-11-26
Business Address
Dr. KEITH MICHAEL SPELLMAN M.D.
201 LYONS AVE
NEWARK, NJ 07112-2027
Phone number: 973-926-7960
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Mailing Address
Dr. KEITH MICHAEL SPELLMAN M.D.
148 BEACHVIEW AVE
SANTA CRUZ, CA 95060-3008
Phone number: 215-520-2318
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