Kennedy Health Alliance | |
165 Princeton Ave West Deptford West Deptford NJ 08096-3123 | |
(856) 384-0210 | |
(856) 384-0218 |
Full Name | Kennedy Health Alliance |
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Speciality | Family Medicine |
Location | 165 Princeton Ave, West Deptford, New Jersey |
Authorized Official Name and Position | Katherine Schleider (VP CLINICAL INTEGRATION) |
Authorized Official Contact | 8567831892 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kennedy Health Alliance 205 E. Laurel Road Stratford NJ 08084 Ph: (856) 783-1987 | Kennedy Health Alliance 165 Princeton Ave West Deptford West Deptford NJ 08096-3123 Ph: (856) 384-0210 |
NPI Number | 1952615981 |
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Provider Enumeration Date | 08/02/2010 |
Last Update Date | 07/10/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952615981 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 25MB08173000 (New Jersey) | Primary |
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Kennedy Health Alliance Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 165 Princeton Ave, West Deptford, NJ 08096 Phone: 856-783-1987 Fax: 856-783-1403 |