Siedman, Alan
Siedman, Alan is an individual health care provider with primary practice located at 2432 Rt 38, Cherry Hill NJ 08002. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Siedman, Alan can be contacted via phone (856) 482-2933.Contact Information
Primary practice address
2432 Rt 38
Cherry Hill NJ 08002
Phone: (856) 482-2933
Fax: (856) 482-2936
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 270A00393600 | New Jersey |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 27TO00039500 | New Jersey |
Profile Details
| NPI number | 1649275405 |
|---|---|
| LBN Legal business name | Siedman, Alan |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2005 |
| Last updated | Oct 20th, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649275405 | NPPES |
| New Jersey | MEDICAID | 0797600 |
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