| NPI | 1942746367 |
|---|---|
| Doing Business As | KENNEDY HEALTH ALLIANCE |
| Entity Type | Organization |
| Authorized Contact | CARMAN A CIERVO Cpe 856-344-7360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 2086S0129X Surgery, Vascular Surgery | |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2017-10-19 |