KENNEDY HEALTH ALLIANCE - NPI 1740213461 - Family Medicine in Glassboro, NJ

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207Q00000X.

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About Kennedy Health Alliance NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNEDY HEALTH ALLIANCE (NPI 1740213461) is a healthcare organization registered as a family medicine in Glassboro, New Jersey and active in the NPI registry since July 2006. The organization lists Greg Taylor, Physician, as its authorized official.

NPPES Registry Identity

NPI1740213461

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameKENNEDY MEDICAL GROUP PRACTICE P.C.

Location Address601 N MAIN STGlassboro, NJ 08028-1637

Mailing Address333 Laurel Oak RdVoorhees, NJ 08043-4453 · (856) 344-7360 · Fax (856) 783-1403

Phone(844) 542-2273

Organization SubpartNo

Authorized OfficialGreg TaylorPhysician · (856) 344-7360

Enumeration DateJuly 8, 2006

Last NPPES UpdateSeptember 8, 2016

✔ NPI 1740213461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

601 N MAIN ST, Glassboro, NJ 08028

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Other Names 1

Doing Business AsKennedy Health Alliance

Other Identifiers 2

Medicaid0411248NJ

Medicare PIN348438NJ

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP