Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | D0024602 | MD |
Y | 111NI0900X | Internist | D0024602 | MD |
N | 207RA0401X | Internist - Addiction Medicine | D0024602 | MD |
NPI | 1497765572 |
---|---|
Provider Name | Dr. Raymond John Altieri |
First Address | Dundalk, MD 21222-1514 |
Second Address | Dundalk, MD 21222-1514 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2006 |
Last Update Date | 07/02/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0402163 | UNITED HC (01) | |
064151100 | (05) | MD |
0965501 | AETNA (01) | |
110195431 | RAILROAD MED (01) | |
1137530 | FIRST HEALTH (01) | |
16084730032126012 | CIGNA (01) | |
1751RJ | CARE FIRST BC (01) | |
410224 | MDPOS (01) | |
41022402 | UNIVERSAL (01) | |
41960 | COVENTRY (01) | |
E2970001 | BLUE CHOICE (01) | |
E2970001 | CF BC FED (01) |