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NPI Code Detail

MEDICARE: DR. R. GIL ALTMAN M.D.

MEDICARE:  DR. R. GIL ALTMAN  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208200000XPlastic Surgery PhysicianMA07298500NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CDSOTHERNJD08082200

General Provider Information

NPI Number : 1023119542
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. R. GIL ALTMAN M.D.
Provider Business Mailing Address
First Line : 520 SYLVAN AVE STE 202
Second Line :
City : ENGLEWOOD CLIFFS
State : NJ
Zip : 07632-3022
Country : US
Telephone Number : 201-569-3334
Fax Number : 201-569-3321
Provider Business Practice Location Address
First Line : 520 SYLVAN AVE STE 202
Second Line :
City : ENGLEWOOD CLIFFS
State : NJ
Zip : 07632-3022
Country : US
Telephone Number : 201-569-3334
Fax Number : 201-569-3321
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2006
Last Update Date : 03/07/2023

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