| Dr. Hortensia Kelly Pa | |
|
111 Central Ave Suite 519 Newark NJ 07102-1909 | |
| (973) 877-5222 | |
| Not Available |
| Full Name | Dr. Hortensia Kelly Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 111 Central Ave, Newark, New Jersey |
| Authorized Official Name and Position | Hortensia Kelly (PHYSICIAN) |
| Authorized Official Contact | 9738775222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Hortensia Kelly Pa 111 Central Ave Suite 519 Newark NJ 07102-1909 Ph: (973) 877-5222 | Dr. Hortensia Kelly Pa 111 Central Ave Suite 519 Newark NJ 07102-1909 Ph: (973) 877-5222 |
| NPI Number | 1598148041 |
|---|---|
| Provider Enumeration Date | 07/01/2015 |
| Last Update Date | 01/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598148041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25MB08441500 (New Jersey) | Primary |
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