Organization
KENNEDY MEDICAL GROUP PRACTICE P.C.
Active
Other names
Kennedy Health Alliance
Organization subpart
No
Provider details
NPI number
Authorized official
CARMAN A CIERVO D.O. (CPE)
(856) 344-7360
Entity
Organization
Contact information
Practice address
151 FRIES MILL RD, SUITE 100, TURNERSVILLE, NJ 08012-2016
(856) 566-3190
Mailing address
151 FRIES MILL RD, SUITE 100, TURNERSVILLE, NJ 08012-2016
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0411248
—
NJ
Enumeration date
02/02/2017
Last updated
02/02/2017
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