Provider Demographics
NPI:1023034774
Name:ALTURK, NAJIB MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:NAJIB
Middle Name:MICHAEL
Last Name:ALTURK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 GLENDALE DR
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08753-3619
Mailing Address - Country:US
Mailing Address - Phone:732-281-6101
Mailing Address - Fax:732-281-6116
Practice Address - Street 1:508 LAKEHURST RD
Practice Address - Street 2:2B
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-8000
Practice Address - Country:US
Practice Address - Phone:732-281-6101
Practice Address - Fax:732-281-6116
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2009-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06735100174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ060065550OtherRAILROAD MEDICARE
NJ023154ZCTGMedicare PIN
NJ060065550OtherRAILROAD MEDICARE