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1235449810
KELLY A SEVERA
MARLTON, NJ
NPI
1235449810
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Former Name
KELLY A COSTA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NJ 25mp00246200)
Enumeration Date
2010-10-15
Last Update Date
2024-02-14
Business Address
KELLY A SEVERA PA
151 GREENTREE RD STE B
MARLTON, NJ 08053-9416
Phone number: 856-702-6700
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Mailing Address
KELLY A SEVERA PA
401 ROUTE 73 N STE 320
MARLTON, NJ 08053-3426
Phone number: 856-872-7055
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