Search › New Jersey › 207RC0000X
Kenneth Bannerman, MD FACC
NPI 1619969623 · on the registry since 2005
Practice
- Address
- 1310 Broad St
Bloomfield, NJ 07003 - Phone
- (973) 338-0800
- Fax
- (973) 338-1140
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 207RC0000X
207RC0000X
- Also registered as
- 207R00000X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey