Basic Information
Provider Information
NPI: 1245320951
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KEISER
FirstName: HAROLD
MiddleName: D
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 606 MAITLAND AVE
Address2:  
City: TEANECK
State: NJ
PostalCode: 076662201
CountryCode: US
TelephoneNumber: 7184058323
FaxNumber: 7184058322
Practice Location
Address1: MONTEFIORE MEDICAL PARK
Address2: 1515 BLONDELL AVENUE, STE. 220
City: BRONX
State: NY
PostalCode: 10461
CountryCode: US
TelephoneNumber: 7184058323
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/13/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RR0500X105395NYY Allopathic & Osteopathic PhysiciansInternal MedicineRheumatology

No ID Information.


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