Kennedy Medical Group Practice P.c.
NPI #1225559495 in Cherry Hill, New Jersey
Provider Information
- NPI Number
- 1225559495
- Entity Type
- Organization
- Organization Name
- Kennedy Medical Group Practice P.c.
- Primary Specialty
- Surgery
- Enumeration Date
- Jun 28, 2017
- Last Updated
- Jun 28, 2017
Practice Location
- Address
- 2211 CHAPEL AVENUE WEST
- Address 2
- SUITE 301
- City
- Cherry Hill
- State
- New Jersey
- ZIP Code
- 08002
- Phone
- (856) 665-2017
Authorized Official
- Name
- DR. CARMAN A CIERVO, D.O.
- Title
- EXP/CPE
- Phone
- (856) 344-7360
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
| Internal Medicine |
| Surgery |
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