Michael Kelly is a Sports Medicine (Internal Medicine) Physician based in West Orange, NJ and is specialized in Sports Medicine. Michael Kelly practices in West Orange, NJ and has the professional credentials of DO. The NPI Number for Michael Kelly is 1265583884 and holds a License No. 25MB07620900 (New Jersey).
The current practice location address for Michael Kelly is 776 Northfield Ave, West Orange, NJ and can be reached out via phone at 973-736-1939 and via fax at 973-736-1937.
Identifier | Type | State | Issuer |
---|---|---|---|
203812206 | 01 | NJ | TAX ID FOR SECOND OFFICE NJ SPORTS MEDICINE CENTER |
7331613 | 01 | NJ | AETNA PROVIDER NUMBER |
1619025038 | 01 | NJ | MEDICARE PIN SECOND OFFICE GROUP NUMBER |
P3389558 | 01 | NJ | OXFORD PROVIDER NUMBER |
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