Healthcare Provider Details

I. General information

NPI: 1194769505
Provider Name (Legal Business Name): JEFFREY H ALTMAN D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2006
Last Update Date: 11/05/2024
Certification Date: 11/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

506 RIVER RD
NEW MILFORD NJ
07646-1928
US

IV. Provider business mailing address

506 RIVER RD
NEW MILFORD NJ
07646-1928
US

V. Phone/Fax

Practice location:
  • Phone: 201-262-0470
  • Fax: 201-262-0476
Mailing address:
  • Phone: 201-262-0470
  • Fax: 201-262-0476

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number38MC002310
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License NumberMC02310
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: