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Allegra M Inciardi, OD

Optometrist in Havertown, PA. Individual provider (NPI-1).

NPI number1013494517
StatusActive
Last updated in NPPESApr 14, 2021

Details

NPI
1013494517
Entity type
Individual (NPI-1)
Name
Allegra M Inciardi
Credential
OD
Sex
Female
Sole proprietor
No
Enumeration date
Jul 26, 2018
Certification date
Apr 14, 2021
Last updated
Apr 14, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X OptometristOEG003447PAYes

Practice location

56 W Eagle Rd
Havertown, PA 19083-1447

Phone 610-446-8080

Mailing address

1112 Spruce St Apt 1f
Philadelphia, PA 19107-6015

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