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Contact Information

MAUREEN M KELLEHER, MD
1355 BROAD ST
CLIFTON, NJ07013-4221
 Phone: 976-377-8556
 Fax: 973-778-4044
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MAUREEN M KELLEHER · (Female)

NPI # 1710910930
Status Active
Credentials MD
Entity Individual
Enumeration date 07/09/2006
Last updated 10/10/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME94343
  • NJ License # 25MA04243300
  • NY License # 151662
  • PA License # MD437271
Hospital affiliation(s)
  • HACKENSACK UMC MOUNTAINSIDE - (Acute Care)
    BAY AND HIGHLAND AVE
    MONTCLAIR, NJ 07042
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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