| Paul Keshishian, D.o., P.c. | |
|
186 Rochelle Ave Suite #2a Rochelle Park NJ 07662-4111 | |
| (201) 368-3384 | |
| (201) 587-0300 |
| Full Name | Paul Keshishian, D.o., P.c. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 186 Rochelle Ave, Rochelle Park, New Jersey |
| Authorized Official Name and Position | Paul Keshishian (PRESIDENT) |
| Authorized Official Contact | 2013683384 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Keshishian, D.o., P.c. 186 Rochelle Ave Suite #2a Rochelle Park NJ 07662-4111 Ph: (201) 368-3384 | Paul Keshishian, D.o., P.c. 186 Rochelle Ave Suite #2a Rochelle Park NJ 07662-4111 Ph: (201) 368-3384 |
| NPI Number | 1427347459 |
|---|---|
| Provider Enumeration Date | 03/30/2011 |
| Last Update Date | 04/24/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427347459 | NPI | - | NPPES |
| 4866100 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 25MB03905100 (New Jersey) | Primary |
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