| Kennedy Medical Group Practice, Pc | |
|
165 Princeton Ave West Deptford NJ 08096-3123 | |
| (856) 783-1987 | |
| (856) 783-1403 |
| Full Name | Kennedy Medical Group Practice, Pc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 165 Princeton Ave, West Deptford, New Jersey |
| Authorized Official Name and Position | Katherine Schleider (VP CLINICAL INTEGRATION&POP.HEALTH) |
| Authorized Official Contact | 8567831987 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kennedy Medical Group Practice, Pc 333 Laurel Oak Rd Voorhees NJ 08043-4453 Ph: (856) 783-1987 | Kennedy Medical Group Practice, Pc 165 Princeton Ave West Deptford NJ 08096-3123 Ph: (856) 783-1987 |
| NPI Number | 1932564622 |
|---|---|
| Provider Enumeration Date | 12/22/2015 |
| Last Update Date | 01/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932564622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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