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KEOGH, GARY JOHN       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: 472 WALKER AVENUE
WEST TRENTON NJ 08628

Address last updated on 7/27/2001
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 21390
Dated: 10/6/1999
Expires: 10/1/2000
License Type: Medical Doctor
Specialty: Physical Medicine & Rehabilitation
Family Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Coll Of Galway, Nat'L Univ Of Ireland, Fac Of Med, Galway, Ireland
Graduated: 6 / 1981
CME Year: 2002
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF FAMILY MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
472 WALKER AVENUE
WEST TRENTON NJ 08628

Phone #:
Fax #:

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