NPI 1164440053

C. Stephen Keklak, MD

Practitioner Diagnostic Radiology Physician Freehold, NJ

Practice location

Address: 901 W Main St Medical Arts Building, Freehold, NJ 07728-2537
Phone: (732) 462-3302
Fax: (732) 780-6213
Mailing address: 1001 W Main St, Freehold, NJ 07728-2579

Registered specialties

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 25MA03233300 (NJ)

Other Radiology providers in New Jersey →

Registry record

NPI: 1164440053
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Jul 2006
Record last updated: 31 Aug 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.