KENNEDY WOUND CARE CENTER


Address: 33 Castleton Ln, Moorestown, NJ 08057-3049
Phone: 8566380108

KENNEDY WOUND CARE CENTER (NPI# 1760537930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760537930
Entity Type Organization
Organization Name KENNEDY WOUND CARE CENTER
Practice Address 33 Castleton Ln
Moorestown
NJ 08057-3049
Mailing Address 543 Egg Harbor Rd
Sewell
NJ 08080-2335
Practice Telephone 8566380108
Mailing Telephone 8562562063
Mailing Fax Number 8562562064
Enumeration Date 2007-01-25
Last Update Date 2008-06-30
Authorized Official Name DR. CATHERINE ANN BARONE (SUPERVISING HYPERBARIC PHYSICIAN)
Authorized Official Telephone 8562562063
Authorized Official Credential D.O.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center MB05205500 NJ Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NJ 362000 05

Office Location

Street Address 33 CASTLETON LN
City MOORESTOWN
State NJ
Zip Code 08057-3049

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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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NPI Name Taxonomy Address Enumeration
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Competitor

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City MOORESTOWN
Zip Code 08057

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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