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Individual

DR. FREDERIC A. NEISTADT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

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

Other identifiers
Code
Description
Identifier
Issuer
State
01
01746001
CAPITAL BLUE CROSS
PA
01
235326
UNITED HEALTHCARE
PA
01
2394
AETNA US HEALTHCARE
PA
01
391267
NVA
PA
01
52295
DAVIS VISION
PA
01
NE286510
HIGHMARK BLUE SHIELD
PA
Enumeration date
09/15/2005
Last updated
02/12/2013
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