Healthcare Provider Details

I. General information

NPI: 1639140965
Provider Name (Legal Business Name): GERALD ALTSCHULER MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4733 N 1ST AVE
TUSCON AZ
85718-5610
US

IV. Provider business mailing address

4733 N 1ST AVE
TUSCON AZ
85718-5610
US

V. Phone/Fax

Practice location:
  • Phone: 520-888-3032
  • Fax: 520-888-9479
Mailing address:
  • Phone: 520-888-3032
  • Fax: 520-888-9479

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number4799
License Number StateAZ

VIII. Authorized Official

Name: DR. GERALD ALTSCHULER
Title or Position: PRES
Credential: MD
Phone: 520-888-3032