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Organization

UNIVERSITY CHILDREN'S EYE CENTER, PC

Active
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Organization

UNIVERSITY CHILDREN'S EYE CENTER, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. J MARK ENGEL (PRESIDENT)
(732) 613-9191
Entity
Organization

Contact information

Practice address
4 CORNWALL CT, EAST BRUNSWICK, NJ 08816-3331
(732) 613-9191
(732) 613-1139
Mailing address
4 CORNWALL CT, EAST BRUNSWICK, NJ 08816-3331
(732) 613-9191
(732) 613-1139

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
NULL
152W00000X
Optometrist
—
—
152WC0802X
Corneal and Contact Management Optometrist
Primary
—
NULL
152WC0802X
Corneal and Contact Management Optometrist
Primary
—
—
152WP0200X
Pediatric Optometrist
—
NULL
152WP0200X
Pediatric Optometrist
—
—
152WV0400X
Vision Therapy Optometrist
—
NULL
152WV0400X
Vision Therapy Optometrist
—
—
174400000X
Specialist
—
NULL
174400000X
Specialist
—
—

Other

Enumeration date
09/22/2006
Last updated
11/29/2010
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