| Kennedy Thoracic Surgery | |
|
900 Medical Center Dr Suite 201 Sewell NJ 08080-2358 | |
| (856) 218-5740 | |
| (856) 218-5749 |
| Full Name | Kennedy Thoracic Surgery |
|---|---|
| Speciality | Clinic/center |
| Location | 900 Medical Center Dr, Sewell, New Jersey |
| Authorized Official Name and Position | Katherine Schleider (CORPORATE DIRECTOR) |
| Authorized Official Contact | 8562185710 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kennedy Thoracic Surgery 900 Medical Center Dr Suite 201 Sewell NJ 08080-2358 Ph: (856) 218-5740 | Kennedy Thoracic Surgery 900 Medical Center Dr Suite 201 Sewell NJ 08080-2358 Ph: (856) 218-5740 |
| NPI Number | 1992020358 |
|---|---|
| Provider Enumeration Date | 03/29/2010 |
| Last Update Date | 03/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992020358 | NPI | - | NPPES |
| 6843301 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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