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Individual

MS. LUDMILA MARIA ENGELBACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1140 ROUTE 72 WEST, MANAHAWKIN, NJ 08050-2412
(609) 978-8900
(609) 978-3176
Mailing address
PO BOX 19, 1 ROBERT WOOD JOHNSON PLACE, MEB 212, NEW BRUNSWICK, NJ 08901-1928
(732) 235-8120
(732) 235-4661

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
36604
NJ
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2067307
NJ
01
P00953436
R R MCR
NJ
Enumeration date
07/12/2006
Last updated
09/20/2011
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