Organization
KENNEDY WOUND CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CATHERINE ANN BARONE D.O. (SUPERVISING HYPERBARIC PHYSICIAN)
(856) 256-2063
Entity
Organization
Contact information
Practice address
33 CASTLETON LN, MOORESTOWN, NJ 08057-3049
(856) 638-0108
Mailing address
543 EGG HARBOR RD, SEWELL, NJ 08080-2335
(856) 256-2063
(856) 256-2064
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MB05205500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
362000
—
NJ
Enumeration date
01/25/2007
Last updated
06/30/2008
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