Organization
KENNEDY MEDICAL GROUP PRACTICE, P.C.
Active
Parent organization
KENNEDY MEMORIAL HOSPITAL UNIVERSITY MEDICAL CENTER INC.
Other names
Kennedy Health Alliance
Organization subpart
Yes
Provider details
NPI number
Legal business name
KENNEDY MEMORIAL HOSPITAL UNIVERSITY MEDICAL CENTER INC.
Authorized official
KATHERINE KATHERINE (VP CLINICAL INTEGRATION)
(856) 783-1982
Entity
Organization
Contact information
Practice address
543 EGG HARBOR ROAD, SEWELL, NJ 08080-2335
(856) 256-2063
(856) 256-2064
Mailing address
205 E LAUREL RD, 2ND FLOOR, STRATFORD, NJ 08084-1301
(856) 783-1892
(856) 783-1403
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
25MA09025500
NJ
Other
Enumeration date
03/13/2012
Last updated
06/18/2014
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