Keller, Marc S
Keller, Marc S is an individual health care provider with primary practice located at 3401 Civic Center Blvd Children'S Hospital Of Philadelphia - Radiology, Philadelphia PA 19104-4319. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Pediatric Radiology is his primary health care specialty. Keller, Marc S can be contacted via phone (215) 590-7000.Contact Information
Primary practice address
3401 Civic Center Blvd Children'S Hospital Of Philadelphia - Radiology
Philadelphia PA 19104-4319
Phone: (215) 590-7000
Fax: (215) 590-9348
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | MA07602300 | New Jersey |
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | MD026831E | Pennsylvania |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | MD026831E | Pennsylvania |
Profile Details
| NPI number | 1770675654 |
|---|---|
| LBN Legal business name | Keller, Marc S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2006 |
| Last updated | Apr 18th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770675654 | NPPES |
| New Jersey | MEDICAID | 948068 |
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