Sandra Kellum
M.D. | Pediatrics | Female
Sandra Kellum, M.D. is a Bloomfield, New Jersey based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Sandra Kellum is
24 Yantecaw Ave, Bloomfield, New Jersey - 07003-2835. She can be contacted on phone at
201-275-8742.
Sandra Kellum is a sole proprietor of her business.
NPI number (Unique professional ID) for Sandra Kellum is
1669881397 which was assigned by NPPES on 06 Aug, 2014 and it was last updated on 20 Apr, 2018.
Sandra Kellum license number is
25MA10083400 for Pediatrics (208000000X) in New Jersey.
Sandra Kellum is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Sandra Kellum basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Sandra Kellum |
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| Credential : | M.D. |
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| Gender : | Female |
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| Sole Proprietor : | Yes |
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Business Address:
Sandra Kellum address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 24 Yantecaw Ave
Bloomfield, NJ, 07003-2835
United States |
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| Phone Number : | 201-275-8742 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1669881397 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 06 Aug, 2014 |
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| Last Updated On : | 20 Apr, 2018 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Sandra Kellum are as mentioned. Primary taxonomy code for Sandra Kellum, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 25MA10083400 | NJ |
Legacy Identifiers:
Other legacy medical identifiers of Sandra Kellum such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 39 | Other | NJ | ST. JOSEPH'S HEALTHCARE SYSTEM |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 24 Yantecaw Ave
Bloomfield, NJ, 07003-2835
United States |
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| Phone Number : | 201-275-8742 |
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Business Location:
Patients can refer following map for directions to
Sandra Kellum practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.