Organization
KENNEDY UNIVERSITY HOSPITAL INC
Active
Other names
Kennedy Health Systems EMS
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD A FORSYTH (DIRECTOR)
(856) 627-5409
Entity
Organization
Contact information
Practice address
140 WALNUT AVE, LINDENWOLD, NJ 08021-7555
(856) 782-9064
(856) 782-9068
Mailing address
PO BOX 13704, 30TH STREET STATION, PHILADELPHIA, PA 19101-3704
(856) 782-9064
(856) 782-9068
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
KENN00301
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7809506
—
NJ
Enumeration date
01/16/2006
Last updated
04/01/2013
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