Organization
KENNEDY MEDICAL GROUP PRACTICE, P.C.
Active
Organization
KENNEDY MEDICAL GROUP PRACTICE, P.C.
Active
Parent organization
KENNEDY MEMORIAL HOSPITAL UNIVERSITY MEDICAL CENTER INC.
Other names
Kennedy Health Alliance
Organization subpart
Yes
Provider details
NPI number
Legal business name
KENNEDY MEMORIAL HOSPITAL UNIVERSITY MEDICAL CENTER INC.
Authorized official
KATHY SCHLEIDER (VP CLINICAL INTEGRATION)
(856) 783-1892
Entity
Organization
Contact information
Practice address
900 MEDICAL CENTER DR, SUITE 201, SEWELL, NJ 08080-2358
(856) 218-2100
(856) 218-2101
Mailing address
900 MEDICAL CENTER DR, SUITE 201, SEWELL, NJ 08080-2358
(856) 218-2100
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
25MA08651300
NJ
Other
Enumeration date
01/10/2012
Last updated
06/18/2014
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