Kennedy, Eugene Cullen

Kennedy, Eugene Cullen is an sole proprietor health care provider with primary practice located at 579A Cranbury Rd University Radiology Group Pc, East Brunswick NJ 08816-5426. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Body Imaging. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Kennedy, Eugene Cullen can be contacted via phone (732) 390-0040.

Contact Information

Primary practice address
579A Cranbury Rd University Radiology Group Pc East Brunswick NJ 08816-5426
Phone: (732) 390-0040
Fax: (732) 390-1856
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 25MA0523800 New Jersey
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X 25MA05923800 New Jersey

Profile Details

NPI number 1639151632
LBN Legal business name Kennedy, Eugene Cullen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 16th, 2005
Last updated Jan 6th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639151632 NPPES
New York MEDICAID 01985955
New York MEDICAID 6958401

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