<Unavail>
LBN: Kennedy Medical Group Practice, P.C.
<Unavail> is an health care organization with primary practice located at 2211 Chapel Ave West Ste 301, Cherry Hill NJ 08002. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is the primary health care specialty.
Kennedy Medical Group Practice, P.C. can be contacted via phone (856) 665-2017, or through Ciervo, Carman via phone (856) 344-7360.
Contact Information
Primary practice address
2211 Chapel Ave West Ste 301
Cherry Hill NJ 08002
Phone: (856) 665-2017
Fax: (856) 488-6769
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | ||
| Allopathic & Osteopathic Physicians / Surgery | 208600000X |
Profile Details
| NPI number | 1669847646 |
|---|---|
| LBN Legal business name | Kennedy Medical Group Practice, P.C. |
| DBA Doing business as | <Unavail> |
| Authorized official | Ciervo, Carman |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 2nd, 2015 |
| Last updated | Jul 21st, 2022 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669847646 | NPPES |
| New Jersey | MEDICAID | 0411248 |
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