# KENNEDY MEDICAL GROUP PRACTICE P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kennedy Health Alliance
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326065087
- **Authorized official:** CARMAN CIERVO D.O. (CPE)
- **Authorized official phone:** (856) 344-7360

## Contact information

- **Practice address:** 709 HADDONFIELD BERLIN RD, VOORHEES, NJ 08043-3714
- **Practice address phone:** (856) 566-3190
- **Practice address fax:** (856) 566-1903
- **Mailing address:** 709 HADDONFIELD BERLIN RD, VOORHEES, NJ 08043-3714
- **Mailing address phone:** (856) 566-3190
- **Mailing address fax:** (856) 566-1903

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | — | NJ | Yes |

## Other

- **Enumeration date:** 07/17/2006
- **Last updated:** 03/01/2017