institution
Kennedy Medical Group Practice, P.c.
Obstetrics Physician in Blackwood, New Jersey
NPI 1932511987

Kennedy Medical Group Practice, P.c. is a Obstetrics Physician based in Stratford, NJ and is specialized in Obstetrics. Kennedy Medical Group Practice, P.c. practices in Blackwood, NJ. The NPI Number for Kennedy Medical Group Practice, P.c. is 1932511987 and holds a License No. (New Jersey).

The current practice location address for Kennedy Medical Group Practice, P.c. is 188 Fries Mill Rd, Blackwood, NJ and can be reached out via phone at 856-875-0505 and via fax at 856-875-9556.

Location: 188 Fries Mill Rd, Blackwood, NJ, 08084-1301
institution
Provider Profile Details
NPI Number
1932511987
Provider Name
Kennedy Medical Group Practice, P.c.
Credential
Provider Entity Type
Organization
Address
188 Fries Mill Rd, Blackwood, NJ, 08084-1301
Phone Number
856-875-0505
Fax Number
856-875-9556
Provider Enumeration Date
05/27/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3911101 05 NJ
P00633440 01 NJ RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
188 Fries Mill Rd
City
State
Zip
08012-2015
Phone Number
856-875-0505
Fax Number
856-875-9556
person
Provider Business Mailing Address Details
Address
188 Fries Mill Rd
City
State
Zip
08012-2015
Phone Number
856-875-0505
Fax Number
856-875-9556
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Obstetrics
Taxonomy
License No.
(New Jersey)
Definition
Definition to come...
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