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Dr. Kelly Glenn Speich, MD
Student in an Organized Health Care Education/Training Program in Newark, New Jersey
NPI 1164926770

Kelly Glenn Speich is a Student in an Organized Health Care Education/Training Program based in Newark, NJ. Kelly Glenn Speich practices in Newark, NJ and has the professional credentials of MD. The NPI Number for Kelly Glenn Speich is 1164926770 and holds a License No. (New Jersey).

The current practice location address for Kelly Glenn Speich is 90 Bergen St Ste 8100, Newark, NJ and can be reached out via phone at 973-972-4588.

Location: 90 Bergen St Ste 8100, Newark, NJ, 07103-2425
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164926770
Provider Name
Kelly Glenn Speich
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
90 Bergen St Ste 8100, Newark, NJ, 07103-2425
Phone Number
973-972-4588
Fax Number
Provider Enumeration Date
03/19/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
90 Bergen St Ste 8100
City
Newark
State
New Jersey
Zip
07103-2425
Phone Number
973-972-4588
Fax Number
person
Provider Business Mailing Address Details
Address
90 Bergen St Ste 8100
City
Newark
State
New Jersey
Zip
07103-2425
Phone Number
973-972-4588
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(New Jersey)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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