Keklak, Peter A

Keklak, Peter A is an individual health care provider with primary practice located at 3205 Fire Rd , Egg Harbor Twp NJ 08234-5884. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Keklak, Peter A can be contacted via phone (029) 407-1220.

Contact Information

Primary practice address
3205 Fire Rd Egg Harbor Twp NJ 08234-5884
Phone: (029) 407-1220
Fax: (609) 407-0220
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 25MP00051000 New Jersey

Profile Details

NPI number 1760588669
LBN Legal business name Keklak, Peter A
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
Last updated Aug 20th, 2023 - about 3 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.

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