Kenneth Bannerman, MDFACC
Kenneth Bannerman, MDFACC is an Internal Medicine Physician in Bloomfield, New Jersey. Licensed in New Jersey. Registered with an NPI since 2005.
- Licensed in
- NJ
- In the registry since
- 2005
- Specialties on file
- 2
Practice location Address checks out
1310 Broad StBloomfield, NJ 07003-3009
Phone: (973) 338-0800
Fax: (973) 338-1140
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Specialties & licences
| Cardiovascular Disease Physician (primary) | Taxonomy 207RC0000X · Licence 66554 (NJ) |
|---|---|
| Internal Medicine Physician | Taxonomy 207R00000X · Licence 66554 (NJ) |
Record details
| NPI number | 1619969623 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MDFACC |
| Sole proprietor | No |
| NPI enumerated | August 16, 2005 |
| Last updated in NPPES | July 12, 2007 |
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