Organization
KENNETH L. KERSHBAUM MD, FACC ,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH KERSHBAUM M.D. (OWNER)
(215) 829-8484
Entity
Organization
Contact information
Practice address
801 SPRUCE ST, SUITE 3-E, PHILADELPHIA, PA 19107-5701
(215) 829-8484
Mailing address
801 SPRUCE ST, SUITE 3-E, PHILADELPHIA, PA 19107-5701
(215) 829-8484
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD010417E
PA
Other
Enumeration date
05/24/2006
Last updated
08/22/2020
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