Provider Demographics
NPI:1295735231
Name:KELSEY, ALAN (MD)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:
Last Name:KELSEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:263 MAIN ST
Mailing Address - Street 2:BOX 128
Mailing Address - City:WHITEHOUSE STATION
Mailing Address - State:NJ
Mailing Address - Zip Code:08889-3620
Mailing Address - Country:US
Mailing Address - Phone:908-534-2249
Mailing Address - Fax:908-534-6634
Practice Address - Street 1:263 MAIN ST
Practice Address - Street 2:BOX 128
Practice Address - City:WHITEHOUSE STATION
Practice Address - State:NJ
Practice Address - Zip Code:08889-3620
Practice Address - Country:US
Practice Address - Phone:908-534-2249
Practice Address - Fax:908-534-6634
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-29
Last Update Date:2010-12-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJMA 037898207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJF04064Medicare UPIN