Provider Demographics
NPI:1619043668
Name:OSTROFF, ALAN BRUCE (OD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:BRUCE
Last Name:OSTROFF
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:108 VILLAGE DR
Mailing Address - Street 2:
Mailing Address - City:NORTH WALES
Mailing Address - State:PA
Mailing Address - Zip Code:19454-1719
Mailing Address - Country:US
Mailing Address - Phone:215-368-6281
Mailing Address - Fax:215-393-7724
Practice Address - Street 1:108 VILLAGE DR
Practice Address - Street 2:
Practice Address - City:NORTH WALES
Practice Address - State:PA
Practice Address - Zip Code:19454-1719
Practice Address - Country:US
Practice Address - Phone:215-368-6281
Practice Address - Fax:215-393-7724
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PA004624P152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist