NPI 1659350189

Pieter Jan Ketelaar, MD

Practitioner Gynecology Physician Brick, NJ

Practice location

Address: 1608 Highway 88 Suite 208, Brick, NJ 08724-3009
Phone: (732) 458-7878
Fax: (732) 840-6378

Registered specialties

Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207VG0400X Licence 25MA02713800 (NJ)

Other Obstetrics & Gynecology providers in New Jersey →

Registry record

NPI: 1659350189
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Jan 2006
Record last updated: 13 Oct 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.