Organization
KENNEDY MEDICAL GROUP PRACTICE, P.C. D/B/A KENNEDY HEALTH ALLIANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA MARIE FOX FNP-C (NP)
(856) 262-8100
Entity
Organization
Contact information
Practice address
1300 LIBERTY PL, SICKLERVILLE, NJ 08081-5710
(856) 262-8100
Mailing address
1300 LIBERTY PL, SICKLERVILLE, NJ 08081-5710
(856) 262-8100
(856) 885-6859
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26NJ00504300
NJ
Other
Enumeration date
05/15/2014
Last updated
08/18/2014
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