Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | MC02310 | NJ |
NPI | 1194769505 |
---|---|
Provider Name | Dr. Jeffrey H Altman |
First Address | New Milford, NJ 07646-1928 |
Second Address | New Milford, NJ 07646-1928 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T45057 | (02) | NJ |