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1265583884
MICHAEL KELLY
WEST ORANGE, NJ
NPI
1265583884
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RS0010X Internal Medicine, Sports Medicine
(Licence: NJ 25mb07620900)
Enumeration Date
2007-01-12
Last Update Date
2024-05-03
Business Address
MICHAEL KELLY D.O.
776 NORTHFIELD AVE
WEST ORANGE, NJ 07052
Phone number: 973-736-1939
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Mailing Address
MICHAEL KELLY D.O.
776 NORTHFIELD AVE
WEST ORANGE, NJ 07052
Phone number: 973-736-1939
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