| Organization Name: | KENNEDY MEDICAL GROUP PRACTICE, P.C. |
| NPI Number: | 1043580806 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KATHY SCHLEIDER (VP CLINICAL INTEGRATION) |
| Mailing Address: | 900 Medical Center Dr Suite 201 Sewell |
| State: | NJ US |
| Postal Code: | 080802358 |
| Phone Number: | 8562182100 |
| Fax Number: | 8562182101 |
| NPI Enumeration Date: | 01/10/2012 |
| NPI Last Update Date: | 06/18/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2086X0206X |
| License Number: | 25MA08651300 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Surgery |
| Taxonomy Specialization: | Surgical Oncology |
| Taxonomy Definition: | A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |