Kennedy Medical Group
Psychiatry & Neurology, Neurology in Marlton, NJ. Organization (NPI-2).
NPI number1083985857
StatusActive
Last updated in NPPESAug 19, 2013
Details
- NPI
- 1083985857
- Entity type
- Organization (NPI-2)
- Legal business name
- Kennedy Medical Group
- Organization subpart
- Yes
- Enumeration date
- Jan 25, 2012
- Last updated
- Aug 19, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | 25MB04815900 | NJ | Yes |
Other names
- Kennedy Health Alliance (Doing Business As)
Practice location
73 N Maple AveMarlton, NJ 08053-1782
Phone 856-596-0558 · Fax 856-596-4043
Mailing address
73 N Maple AveMarlton, NJ 08053-1782
Phone 856-596-0558 · Fax 856-596-4043
Authorized official
Kathy Schleider
Director, Physician Integration
8567831892
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