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Organization
KENNEDY MEDICAL GROUP PRACTICE P.C.
Active
Organization
KENNEDY MEDICAL GROUP PRACTICE P.C.
Active
Parent organization
KENNEDY HEALTH SYSTEM
Organization subpart
Yes
Provider details
NPI number
Legal business name
KENNEDY HEALTH SYSTEM
Authorized official
CARMAN A CIERVO (CEO)
(856) 783-1987
Entity
Organization
Contact information
Practice address
1 A REGULUS DRIVE, TURNERSVILLE, NJ 08012
(856) 256-7513
(856) 256-7518
Mailing address
1 A REGULUS DRIVE, TURNERSVILLE, NJ 08012
(856) 256-7513
(856) 256-7518
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB05175300
NJ
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
Other
Enumeration date
05/17/2011
Last updated
10/19/2017
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