Healthcare Provider Details

I. General information

NPI: 1841287539
Provider Name (Legal Business Name): CHRISTOPHER ALTAMURO DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2005
Last Update Date: 03/13/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2848 S DELSEA DR SUITE 4B
VINELAND NJ
08360-7042
US

IV. Provider business mailing address

8 LAKE SHORE DR
GLASSBORO NJ
08028-2718
US

V. Phone/Fax

Practice location:
  • Phone: 856-205-7070
  • Fax: 856-205-0145
Mailing address:
  • Phone: 856-863-9928
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMB54988
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: