Organization
KENNEDY MEDICAL GROUP PRACTICE P.C.
Active
Other names
kennedy health alliance
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREG TAYLOR D.O. (PHYSICIAN)
(856) 344-7360
Entity
Organization
Contact information
Practice address
601 N MAIN ST, GLASSBORO, NJ 08028-1637
(844) 542-2273
Mailing address
333 LAUREL OAK RD, VOORHEES, NJ 08043-4453
(856) 344-7360
(856) 783-1403
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0411248
—
NJ
Enumeration date
07/08/2006
Last updated
09/08/2016
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