Healthcare Provider Details

I. General information

NPI: 1083687156
Provider Name (Legal Business Name): ROSEMARY M ALTEMUS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/09/2006
Last Update Date: 05/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1850 TOWN CENTER PARKWAY
RESTON VA
20190
US

IV. Provider business mailing address

PO BOX 31436
RICHMOND VA
23294-1436
US

V. Phone/Fax

Practice location:
  • Phone: 703-689-9330
  • Fax: 703-689-9334
Mailing address:
  • Phone: 804-266-8717
  • Fax: 804-266-5677

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number0101234426
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: