National Provider Identifier Database

KENNETH BANNERMAN, MD FACC – NPI #1619969623
Cardiovascular Disease

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.


Contact Information

KENNETH BANNERMAN, MD FACC
1310 BROAD ST
BLOOMFIELD, NJ07003-3009
Phone: 973-338-0800
Fax: 973-338-1140
Website:
Specialty Taxonomy Code
* Cardiovascular Disease 207RC0000X
Internal Medicine 207R00000X

* Indicates primary specialty

NPI Profile & details for KENNETH BANNERMAN

NPI Number 1619969623
Credentials MD FACC
Entity Individual
Enumeration date 08/16/2005
Last updated 07/12/2007 - About 19 years ago
Sole proprietor1 No
Identifiers
  • NJ License #: 66554
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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