Provider Demographics
NPI:1053651380
Name:ALTOMARE, MARGARET (BA)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:
Last Name:ALTOMARE
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 SCHAEFFERS WAY
Mailing Address - Street 2:
Mailing Address - City:BERLIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08009-1525
Mailing Address - Country:US
Mailing Address - Phone:856-753-0931
Mailing Address - Fax:
Practice Address - Street 1:225 WHITE HORSE AVE
Practice Address - Street 2:
Practice Address - City:CLEMENTON
Practice Address - State:NJ
Practice Address - Zip Code:08021-3916
Practice Address - Country:US
Practice Address - Phone:856-784-2100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-23
Last Update Date:2013-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist