Organization
KENNEDY UNIVERSITY HOSPITAL INC.
Active
Other names
Kennedy Dialysis Center - Washington Township
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH LARIO (CHIEF FINANCIAL OFFICER)
(856) 661-5144
Entity
Organization
Contact information
Practice address
300 MEDICAL CENTER DRIVE, SUITE A, SEWELL, NJ 08080-2373
(856) 218-4990
(856) 256-9624
Mailing address
PO BOX 13703, PHILADELPHIA, PA 19101-3703
(856) 661-5164
(856) 661-5274
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
1080
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4140206
—
NJ
Enumeration date
09/28/2006
Last updated
12/10/2010
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