# KENNEDY SURGICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629187125
- **Authorized official:** MR. JOSEPH LARIO (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (856) 661-5144

## Contact information

- **Practice address:** 540 EGG HARBOR RD, SEWELL, NJ 08080-2336
- **Practice address phone:** (856) 218-4900
- **Practice address fax:** (856) 256-1276
- **Mailing address:** PO BOX 48023, NEWARK, NJ 07101-4823
- **Mailing address phone:** (856) 661-5164
- **Mailing address fax:** (856) 661-5274

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 82444 | NJ | Yes |

## Other

- **Enumeration date:** 08/29/2006
- **Last updated:** 08/22/2020