Provider Demographics
NPI:1235236357
Name:ALTMAN, RACHEL SARA (MD)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:SARA
Last Name:ALTMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:RACHEL
Other - Middle Name:SARA
Other - Last Name:ALTMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:290 MADISON AVE
Mailing Address - Street 2:BUILDING 5
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-7400
Mailing Address - Country:US
Mailing Address - Phone:973-538-7171
Mailing Address - Fax:973-267-8215
Practice Address - Street 1:290 MADISON AVE
Practice Address - Street 2:BUILDING 5
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-7400
Practice Address - Country:US
Practice Address - Phone:973-538-7171
Practice Address - Fax:973-267-8215
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2011-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2382931207N00000X
NJ25MA08704000207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology