Michael Colucciello Iii is a Moorestown, New Jersey based male Ophthalmologist with 38 years of experience in Ophthalmology. He completed his graduation from State University Of Ny Upstate Medical University in 1986. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Michael Colucciello Iii is 25MA06592100 for Ophthalmology in New Jersey. Michael Colucciello Iii is medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, patients can be prescribed vision services, including glasses and contact lenses.
Complete Profile:
Michael Colucciello Iii speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Ophthalmology
Credentials:
M.D.
Experience:
38+ years
Medical School Attended:
State University Of Ny Upstate Medical University
Graduation Year:
1986
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
509 S Lenola Rd Ste 11a, Moorestown, New Jersey, 08057-1561
Phone:
856-234-0258
Fax:
856-727-9518
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
2264400555
Enrollment ID:
I20100729000776
NPI Number:
1215934146
NPI Enumeration Date:
07 Jul, 2005
NPI Last Update On:
12 Apr, 2021
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Michael Colucciello Iii are as mentioned below.
License Number
Specialization
State
Status
25MA06592100
Ophthalmology
New Jersey
Primary
MD041676L
Ophthalmology
Pennsylvania
Secondary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Michael Colucciello Iii has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Associated Retinal Consultants Llc (2961509161)
112
South Jersey Eye Physicians, Pa (0749258036)
10
Other Medical Identifiers:
Other legacy medical identifiers associated with Michael Colucciello Iii such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
7315902
Medicaid
New Jersey
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
509 S Lenola Rd Ste 11a, Moorestown, New Jersey
Zip:
08057-1561
Phone Number:
856-234-0258
Fax Number:
856-727-9518
Patients can reach Michael Colucciello Iii at 509 S Lenola Rd Ste 11a, Moorestown, New Jersey or can call to book an appointment on 856-234-0258. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.