Organization Name: | KENNEDY WOUND CARE CENTER |
NPI Number: | 1760537930 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CATHERINE ANN BARONE (SUPERVISING HYPERBARIC PHYSICIAN) |
Mailing Address: | 33 Castleton Ln Moorestown |
State: | NJ US |
Postal Code: | 080573049 |
Phone Number: | 8566380108 |
Fax Number: | |
NPI Enumeration Date: | 01/25/2007 |
NPI Last Update Date: | 06/30/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261Q00000X |
License Number: | MB05205500 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | |
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). |