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Individual

DR. TIMOTHY JOHN KENNEDY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
195 LITTLE ALBANY ST, SUITE 560, NEW BRUNSWICK, NJ 08901-1914
(732) 235-6572
Mailing address
111 W 67TH ST APT 27F, NEW YORK, NY 10023-5957
(646) 300-1745

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
25MA09700900
NJ
2086X0206X
Surgical Oncology Physician
239314
NY
2086X0206X
Surgical Oncology Physician
Primary
25MA09700900
NJ

Other

Enumeration date
07/21/2008
Last updated
04/30/2024
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