NPI 1629343421

Kennedy Medical Group Practice, P.C.

Organisation Vascular Surgery Physician Sewell, NJ

Practice location

Address: 543 Egg Harbor Road, Sewell, NJ 08080-2335
Phone: (856) 256-2063
Fax: (856) 256-2064
Mailing address: 205 E Laurel Rd 2nd Floor, Stratford, NJ 08084-1301

Authorised official

Name: Katherine Katherine
Title: Vp Clinical Integration
Phone: (856) 783-1982

Registered specialties

Vascular Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2086S0129X Licence 25MA09025500 (NJ)

Other Surgery providers in New Jersey →

Registry record

NPI: 1629343421
Entity type: Organization
NPI issued: 13 Mar 2012
Record last updated: 18 Jun 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.