Organization
KENNEDY SURGICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH LARIO (CHIEF FINANCIAL OFFICER)
(856) 661-5144
Entity
Organization
Contact information
Practice address
540 EGG HARBOR RD, SEWELL, NJ 08080-2336
(856) 218-4900
(856) 256-1276
Mailing address
PO BOX 48023, NEWARK, NJ 07101-4823
(856) 661-5164
(856) 661-5274
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
82444
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7251009
—
NJ
Enumeration date
08/29/2006
Last updated
08/22/2020
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