Healthcare Provider Details

I. General information

NPI: 1376847335
Provider Name (Legal Business Name): HARVEY JAMES ALTER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/05/2011
Last Update Date: 01/05/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 CENTER DR BLDG 10 ROOM 1C-711
BETHESDA MD
20892-0001
US

IV. Provider business mailing address

4709 CUMBERLAND AVE.
CHEVY CHASE MD
20815-5457
US

V. Phone/Fax

Practice location:
  • Phone: 301-496-8393
  • Fax: 301-402-2965
Mailing address:
  • Phone: 301-951-3663
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZB0001X
TaxonomyBlood Banking & Transfusion Medicine Physician
License Number3375
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: