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Individual

DR. JOHN J ENGEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
15 CLEVELAND AVE, SUITE 14 CHILDRENS MEDICAL CENTER LTD, MARTINSVILLE, VA 24112-2937
(276) 632-9714
(276) 632-0620
Mailing address
15 CLEVELAND AVE, SUITE 14 CHILDRENS MEDICAL CENTER LTD, MARTINSVILLE, VA 24112-2937
(276) 632-9714
(276) 632-0620

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101023866
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
016461
BLUE CROSS
VA
05
6748678
VA
Enumeration date
10/18/2005
Last updated
06/28/2012
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