Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | MD423852 | PA |
N | 207V00000X | Obstetrician & Gynecologist | MD423852 | PA |
NPI | 1013935220 |
---|---|
Provider Name | Dr. Marc J. Altshuler |
First Address | Philadelphia, PA 19107-4414 |
Second Address | Philadelphia, PA 19107-4414 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2006 |
Last Update Date | 18/11/2014 |