Organization · Type 2 NPI

Kennedy Medical Group Practice P.c.

Surgery Physician · Cherry Hill, NJ

NPI number 1225559495 Active

Practice location

2211 Chapel Avenue West, Suite 301
Cherry Hill, NJ 08002

Call (856) 665-2017 Map

Fax (856) 488-6769

Mailing address

205 E Laurel Rd
Stratford, NJ 08084-1301

Specialties and licenses

Taxonomy	Code	License
Registered Dietitian	133V00000X	None listed
Internal Medicine Physician	207R00000X	None listed
Surgery Physician Primary	208600000X	None listed

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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NPI record

NPI: 1225559495
Entity type: Organization (Type 2)
Issued: Jun 28, 2017
Last updated: Jun 28, 2017
Status: Active

Other names

<unavail>
Kennedy Health Alliance · doing business as
Kennedy Health Alliance · doing business as

Authorized official

Dr. Carman A Ciervo, DO
Exp/cpe
(856) 344-7360

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1225559495

Kennedy Medical Group Practice P.c.'s National Provider Identifier is 1225559495, issued on Jun 28, 2017. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Cherry Hill, NJ. The record was last updated on Jun 28, 2017.