Organization
KENNEDY UNIVERSITY HOSPITAL, INC.
Active
Parent organization
KENNEDY MEMORIAL HOSPITAL UNIVERSITY MEDICAL CENTER, INC
Other names
KENNEDY FAMILY HEALTH SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
KENNEDY MEMORIAL HOSPITAL UNIVERSITY MEDICAL CENTER, INC
Authorized official
MRS. MICHELLE SILLS (OFFICE MANAGER)
(856) 557-5555
Entity
Organization
Contact information
Practice address
1 SOMERDALE SQ, SOMERDALE, NJ 08083-1345
(856) 557-5555
(856) 566-8944
Mailing address
1 SOMERDALE SQ, SOMERDALE, NJ 08083-1345
(856) 557-5555
(856) 566-8942
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
10403
NJ
207V00000X
Obstetrics & Gynecology Physician
10403
NJ
261QP2300X
Primary Care Clinic/Center
Primary
10403
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4140222
—
NJ
05
—
6843301
—
NJ
Enumeration date
07/15/2006
Last updated
03/04/2020
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