Organization
KENNEDY MEDICAL GROUP PRACTICE P.C.
Active
Parent organization
KENNEDY UNIVERSITY HOSPITAL
Other names
Kennedy Health Alliance
Organization subpart
Yes
Provider details
NPI number
Legal business name
KENNEDY UNIVERSITY HOSPITAL
Authorized official
KATHERINE SCHLEIDER (VP CLINICAL INTEGRATION)
(856) 783-1892
Entity
Organization
Contact information
Practice address
165 PRINCETON AVE, WEST DEPTFORD, WEST DEPTFORD, NJ 08096-3123
(856) 384-0210
(856) 384-0218
Mailing address
205 E. LAUREL ROAD, STRATFORD, NJ 08084
(856) 783-1987
(856) 783-1403
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB08173000
NJ
Other
Enumeration date
08/02/2010
Last updated
07/10/2014
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