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1114029659
MIRO UKRAINCIK
LAKEWOOD, NJ
NPI
1114029659
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: NJ MA 69312)
Enumeration Date
2006-09-04
Last Update Date
2007-07-08
Business Address
Dr. MIRO UKRAINCIK M.D.
450 E KENNEDY BLVD
LAKEWOOD, NJ 08701-1435
Phone number: 732-901-0050
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Mailing Address
Dr. MIRO UKRAINCIK M.D.
9 MANOR CT
EDISON, NJ 08817-2974
Phone number:
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