MEDICARE: DR. JOSEPH SALVATORE KEMBER PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	40QA01379600	NJ

General Provider Information

NPI Number	:	1487955431
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH SALVATORE KEMBER PT

Provider Business Mailing Address
First Line	:	520 HEIDELBERG AVE
Second Line	:
City	:	EGG HARBOR CITY
State	:	NJ
Zip	:	08215-4282
Country	:	US
Telephone Number	:	609-703-1095
Fax Number	:

Provider Business Practice Location Address
First Line	:	520 HEIDELBERG AVE
Second Line	:
City	:	EGG HARBOR CITY
State	:	NJ
Zip	:	08215-4282
Country	:	US
Telephone Number	:	609-703-1095
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/08/2010
Last Update Date	:	11/08/2010

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