Organization
KENNEDY MEDICAL GROUP PRACTICE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMAN A CIERVO (CPE)
(856) 783-1987
Entity
Organization
Contact information
Practice address
900 MEDICAL CENTER DR STE 100, SEWELL, NJ 08080-2358
(856) 582-3008
(856) 582-3009
Mailing address
457 HADDONFIELD RD STE 110, LIBERTY VIEW CHERRY HILL, CHERRY HILL, NJ 08002-2223
(856) 406-4091
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Enumeration date
12/12/2012
Last updated
03/17/2018
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