Organization
NJ REGIONAL EAR NOSE & THROAT CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD I ENGLE DO (PRACTICE OWNER)
(609) 597-7110
Entity
Organization
Contact information
Practice address
1145 BEACON AVENUE, MANAHAWKIN, NJ 08050-2626
(609) 597-7110
(609) 597-9113
Mailing address
1145 BEACON AVENUE, MANAHAWKIN, NJ 08050-2626
(609) 597-7110
(609) 597-9113
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0081299
—
NJ
01
—
103892
LOCAL 825
—
01
—
2411865000
AMERIHEALTH
NJ
01
—
8222873
GHI
—
Enumeration date
11/02/2006
Last updated
08/22/2020
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