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Organization

KENNEDY MEDICAL GROUP PRACTICE P.C.

Active
Parent organization
KENNEDY HEALTH SYSTEM
Organization subpart
Yes

Provider details

NPI number
Legal business name
KENNEDY HEALTH SYSTEM
Authorized official
CARMAN A CIERVO (CEO)
(856) 783-1987
Entity
Organization

Contact information

Practice address
1 A REGULUS DRIVE, TURNERSVILLE, NJ 08012
(856) 256-7513
(856) 256-7518
Mailing address
1 A REGULUS DRIVE, TURNERSVILLE, NJ 08012
(856) 256-7513
(856) 256-7518

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB05175300
NJ
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
2086S0129X
Vascular Surgery Physician

Other

Enumeration date
05/17/2011
Last updated
10/19/2017
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