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General NPI Number Information
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NPI Number | 1013119122
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Entity Type | Organization
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Legal Business Name | ALTMAN AND GERETY FAMILY MEDICAL
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Dates
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Enumeration Date | 06/01/2007
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Last Update Date | 02/27/2012
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Provider Practice Location Address
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Address Line | 188 FRIES MILL RD SUITE E-3
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City | TURNERSVILLE
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State | NJ
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Zip | 08012-2015
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Country | US
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Telephone | 856-629-7006
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Fax | 856-629-0077
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Provider Business Mailing Address
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Address Line | 188 FRIES MILL RD SUITE E-3
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City | TURNERSVILLE
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State | NJ
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Zip | 08012-2015
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Country | US
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Telephone | 856-629-7006
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Fax | 856-629-0077
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DANIEL WINSTON ALTMAN
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Credential | M.D.
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Telephone | 856-629-7006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25MAO63661
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License Number State | NJ
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