Individual
DR. ALAN SIEDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2432, RT 38, CHERRY HILL, NJ 08002
(856) 482-2933
(856) 482-2936
Mailing address
2432, RT 38, CHERRY HILL, NJ 08002
(856) 482-2933
(856) 482-2936
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
270A00393600
NJ
152W00000X
Optometrist
27TO00039500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0797600
—
NJ
Enumeration date
06/17/2005
Last updated
10/20/2009
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