SOUTH JERSEY EYE PHYSICIANS LLC NPI 1023072824

NPI Information

SOUTH JERSEY EYE PHYSICIANS, LLC is an ambulatory surgical clinic center in Moorestown, NJ. SOUTH JERSEY EYE PHYSICIANS, LLC NPI is 1023072824. The provider is registered as an organization entity type.
The provider Is Doing Business As The Surgical Center At South Jersey Eye Physicians, Pa.

The provider's business location address is:

509 S LENOLA RD
SUITE 11B
MOORESTOWN, NJ
ZIP 08057-561
Phone: (856) 234-0258
Fax: (856) 727-9518

The provider's authorized official is Lauren Magnifico .
The authorized official title is Vp Asc Operations and has the following contact phone number (201) 216-1700.

The CLIA number assigned to this NPI record is 31D1007701 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/17/2006 and was last updated on 2/5/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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