Kennedy Medical Group Practice, P.C.

LBN: Kennedy Medical Group Practice, P.C.
Kennedy Medical Group Practice, P.C. is an health care organization with primary practice located at 73 N Maple Ave Suite B, Marlton NJ 08053-1782. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Kennedy Medical Group Practice, P.C. can be contacted via phone (856) 596-0558, or through Ciervo, Carman A via phone (856) 783-1987.

Contact Information

Primary practice address
73 N Maple Ave Suite B Marlton NJ 08053-1782
Phone: (856) 596-0558
Fax: (856) 596-4043
Website:
Map and Directions
Authorized official contact:
Name: Ciervo, Carman A
Phone: (856) 783-1987

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X
Allopathic & Osteopathic Physicians / Neurology 2084N0400X

Profile Details

NPI number 1427350040
LBN Legal business name Kennedy Medical Group Practice, P.C.
DBA Doing business as
Authorized official Ciervo, Carman A
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 2nd, 2010
Last updated Oct 19th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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