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Organization
KENNEDY MEDICAL GROUP PRACTICE P.C.
Active
Organization
KENNEDY MEDICAL GROUP PRACTICE P.C.
Active
Other names
kennedy health alliance
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREG TAYLOR D.O. (PHYSICIAN)
(856) 344-7360
Entity
Organization
Contact information
Practice address
601 N MAIN ST, GLASSBORO, NJ 08028-1637
(844) 542-2273
Mailing address
333 LAUREL OAK RD, VOORHEES, NJ 08043-4453
(856) 344-7360
(856) 783-1403
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0411248
—
NJ
Enumeration date
07/08/2006
Last updated
09/08/2016
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