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NPI Profile for KENNETH BANNERMAN in BLOOMFIELD, NJ.
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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Cardiovascular Disease |
207RC0000X | 11 | Physician/Internal Medicine | |
Internal Medicine |
207R00000X | 11 | Physician/Internal Medicine |
| NPI # | 1619969623 |
|
| Status | Active | |
| Credentials | MD FACC | |
| Entity | Individual | |
| Enumeration date | 08/16/2005 | |
| Last updated | 07/12/2007 - About 19 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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KENNETH BANNERMAN
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KENNETH BANNERMAN, MD FACC