| Kennedy Wound Care Center | |
|
33 Castleton Ln Moorestown NJ 08057-3049 | |
| (856) 638-0108 | |
| Not Available |
| Full Name | Kennedy Wound Care Center |
|---|---|
| Speciality | Clinic/center |
| Location | 33 Castleton Ln, Moorestown, New Jersey |
| Authorized Official Name and Position | Catherine Ann Barone (SUPERVISING HYPERBARIC PHYSICIAN) |
| Authorized Official Contact | 8562562063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kennedy Wound Care Center 543 Egg Harbor Rd Sewell NJ 08080-2335 Ph: (856) 256-2063 | Kennedy Wound Care Center 33 Castleton Ln Moorestown NJ 08057-3049 Ph: (856) 638-0108 |
| NPI Number | 1760537930 |
|---|---|
| Provider Enumeration Date | 01/25/2007 |
| Last Update Date | 06/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760537930 | NPI | - | NPPES |
| 362000 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | MB05205500 (New Jersey) | Primary |
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