# SEIDENBERG PROTZKO EYE ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124065800
- **Authorized official:** DR. JONATHAN ALLAN SEIDENBERG M.D. (PRESIDENT)
- **Authorized official phone:** (410) 939-6477

## Contact information

- **Practice address:** 2023 PULASKI HIGHWAY, HAVRE DE GRACE, MD 21078-3719
- **Practice address phone:** (410) 939-6477
- **Practice address fax:** (410) 939-6555
- **Mailing address:** 2023 PULASKI HIGHWAY, HAVRE DE GRACE, MD 21078-3719
- **Mailing address phone:** (410) 939-6477
- **Mailing address fax:** (410) 939-6555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | D0038724 | MD | Yes |

## Other

- **Enumeration date:** 06/01/2006
- **Last updated:** 03/01/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 518901200 | — | MD |
