Organization
KENNEDY MEMORIAL HOSPITALS-UNIVERSITY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH M LARIO (CHIEF FINANCIAL OFFICER)
(856) 661-5144
Entity
Organization
Contact information
Practice address
2201 CHAPEL AVE W, CHERRY HILL, NJ 08002-2048
(856) 488-6500
(856) 488-6526
Mailing address
PO BOX 48023, NEWARK, NJ 07101-4823
(856) 661-5164
(856) 661-5274
Taxonomy
Speciality
Code
Description
License number
State
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary
10401
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4140206
—
NJ
Enumeration date
10/05/2006
Last updated
08/22/2020
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