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Organization

ACADEMIC EYE CENTER PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN S KUNG MD (OWNER)
(732) 257-4900
Entity
Organization

Contact information

Practice address
192 SUMMERHILL RD, EAST BRUNSWICK, NJ 08816-4908
(732) 257-4900
(732) 432-9458
Mailing address
192 SUMMERHILL ROAD, EAST BRUNSWICK, NJ 08816
(732) 257-4900
(732) 432-9458

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
082633
MEDICARE PTAN
NJ
Enumeration date
07/17/2006
Last updated
01/08/2024
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