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Organization

SEIDENBERG PROTZKO EYE ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID D REED O.D (OPTICAL DIRECTOR)
(443) 643-4505
Entity
Organization

Contact information

Practice address
520 UPPER CHESAPEAKE DR, SUITE 401, BEL AIR, MD 21014-4339
(443) 643-4505
(443) 643-4510
Mailing address
2023 PULASKI HIGHWAY, HAVRE DEGRACE, MD 21078
(410) 939-6477
(410) 939-6555

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
TA1239
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
KF61
CAREFIRST BLUESHIELD
MD
01
W245
CAREFIRST NCA
MD
Enumeration date
01/02/2007
Last updated
03/19/2009
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