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Dr. George D Keckeisen, MD
Vascular Surgery Physician in Southampton, New York
NPI 1619072436

George D Keckeisen is a Vascular Surgery Physician based in Southampton, NY and is specialized in Vascular Surgery. George D Keckeisen practices in Southampton, NY and has the professional credentials of MD. The NPI Number for George D Keckeisen is 1619072436 and holds a License No. 151417 (New York).

The current practice location address for George D Keckeisen is 325 Meeting House Ln, Southampton, NY and can be reached out via phone at 631-283-2100 and via fax at 631-283-5731.

Location: 325 Meeting House Ln, Southampton, NY, 11969-2340
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619072436
Provider Name
George D Keckeisen
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
325 Meeting House Ln, Southampton, NY, 11969-2340
Phone Number
631-283-2100
Fax Number
631-283-5731
Provider Enumeration Date
09/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01521420 05 NY
27263 01 NY VYTRA
institution
Provider Business Practice Location Address Details
Address
325 Meeting House Ln
City
Southampton
State
New York
Zip
11968-5087
Phone Number
631-283-2100
Fax Number
631-283-5731
person
Provider Business Mailing Address Details
Address
325 Meeting House Ln
City
Southampton
State
New York
Zip
11968-5087
Phone Number
631-283-2100
Fax Number
631-283-5731
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
151417 (New York)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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