Kennedy Medical Group Practice P.c.
NPI #1942746367 in Woodbury, New Jersey
Provider Information
- NPI Number
- 1942746367
- Entity Type
- Organization
- Organization Name
- Kennedy Medical Group Practice P.c.
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Jan 9, 2017
- Last Updated
- Oct 19, 2017
Practice Location
- Address
- 159 S BROAD ST
- City
- Woodbury
- State
- New Jersey
- ZIP Code
- 08096-2410
- Phone
- (844) 542-2273
Authorized Official
- Name
- CARMAN A CIERVO, D.O.
- Title
- CPE
- Phone
- (856) 344-7360
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Internal Medicine - Gastroenterology — Gastroenterology |
| Surgery - Vascular Surgery — Vascular Surgery |
| Internal Medicine |
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