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1750792883
KENADEED HERSI
NEWARK, NJ
NPI
1750792883
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: TX R4559)
Enumeration Date
2014-05-12
Last Update Date
2018-06-27
Business Address
KENADEED HERSI MD
30 BERGEN STREET ROOM 1110
NEWARK, NJ 07103
Phone number: 434-466-1316
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Mailing Address
KENADEED HERSI MD
200 CORPORATE BLVD
LAFAYETTE, LA 70508-3870
Phone number: 800-893-9698
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