| Organization Name: | PAUL KESHISHIAN, D.O., P.C. |
| NPI Number: | 1427347459 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PAUL KESHISHIAN (PRESIDENT) |
| Mailing Address: | 186 Rochelle Ave Suite #2a Rochelle Park |
| State: | NJ US |
| Postal Code: | 076624111 |
| Phone Number: | 2013683384 |
| Fax Number: | 2015870300 |
| NPI Enumeration Date: | 03/30/2011 |
| NPI Last Update Date: | 04/24/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 25MB03905100 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |