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Organization

KENNEDY MEDICAL GROUP PRACTICE P.C.

Active
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Organization

KENNEDY MEDICAL GROUP PRACTICE P.C.

Active
Other names
Kennedy Health Alliance
Organization subpart
No

Provider details

NPI number
Authorized official
CARMAN A CIERVO D.O. (CPE)
(856) 344-7360
Entity
Organization

Contact information

Practice address
151 FRIES MILL RD, SUITE 100, TURNERSVILLE, NJ 08012-2016
(856) 566-3190
Mailing address
151 FRIES MILL RD, SUITE 100, TURNERSVILLE, NJ 08012-2016

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
NULL
207RI0200X
Infectious Disease Physician
Primary
—
—

Other

Enumeration date
02/02/2017
Last updated
02/02/2017
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