Healthcare Provider Details

I. General information

NPI: 1891891743
Provider Name (Legal Business Name): BURLINGTON COUNTY EYE PHYSICIANS II
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2006
Last Update Date: 08/06/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 SUNSET RD
WILLINGBORO NJ
08046-1109
US

IV. Provider business mailing address

225 SUNSET RD
WILLINGBORO NJ
08046-1109
US

V. Phone/Fax

Practice location:
  • Phone: 609-877-2800
  • Fax: 609-877-1813
Mailing address:
  • Phone: 609-877-2800
  • Fax: 609-877-1813

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. GREGORY H. SCIMECA
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 609-877-2800