Organization
FREDERIC A. NEISTADT O.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURIE VELAZQUEZ NRCMA (OFFICE MANAGER)
(610) 437-0717
Entity
Organization
Contact information
Practice address
2200 W HAMILTON ST, SUITE 300, ALLENTOWN, PA 18104-6337
(610) 437-0717
(610) 437-3741
Mailing address
2200 W HAMILTON ST, SUITE 300, ALLENTOWN, PA 18104-6337
(610) 437-0717
(610) 437-3741
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000893
PA
Other
Enumeration date
02/14/2008
Last updated
02/14/2008
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