-- KENNETH BANNERMAN -- MD FACC
Individual Provider (NPI-1)
Active
Internal Medicine, Cardiovascular Disease
Provider Information
- NPI Number
1619969623- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD FACC
- Status
- Active
Contact & Location
- Address
- 1310 BROAD ST, BLOOMFIELD, NJ, 070033009
- Phone
- (973) 338-0800
- Fax
- (973) 338-1140
Specialties & Taxonomies
Internal Medicine
License: NJ #66554
Internal Medicine, Cardiovascular Disease
Primary License: NJ #66554