Organization
SEIDENBERG PROTZKO EYE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN ALLAN SEIDENBERG M.D. (PRESIDENT)
(410) 939-6477
Entity
Organization
Contact information
Practice address
2023 PULASKI HIGHWAY, HAVRE DE GRACE, MD 21078-3719
(410) 939-6477
(410) 939-6555
Mailing address
2023 PULASKI HIGHWAY, HAVRE DE GRACE, MD 21078-3719
(410) 939-6477
(410) 939-6555
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
D0038724
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
518901200
—
MD
Enumeration date
06/01/2006
Last updated
03/01/2010
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