Organization
DAVID S ALTENDERFER OD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID STEVEN ALTENDERFER OD (OWNER)
(484) 566-9242
Entity
Organization
Contact information
Practice address
147 PALMER PARK MALL, EASTON, PA 18045-2759
(610) 258-4372
(610) 258-5878
Mailing address
518 WALLER WAY, JEFFERSONVILLE, PA 19403-3543
(484) 566-9242
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001271
PA
Other
Enumeration date
03/28/2017
Last updated
03/28/2017
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