Provider Demographics
NPI:1376639690
Name:ALTEVEER, JANET G (MD)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:G
Last Name:ALTEVEER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3 COOPER PLZ
Mailing Address - Street 2:SUITE 502
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1438
Mailing Address - Country:US
Mailing Address - Phone:856-963-6888
Mailing Address - Fax:856-968-8499
Practice Address - Street 1:1 COOPER PLZ
Practice Address - Street 2:COOPER UNIVERSITY EMERGENCY MEDICINE
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-1461
Practice Address - Country:US
Practice Address - Phone:856-342-2351
Practice Address - Fax:856-968-8272
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2010-09-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMA35099207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ4810732OtherCIGNA
NJP3403271OtherOXFORD
NJ3551501OtherAETNA
NJ60005906OtherHORIZON NJ HEALTH
NJ614672OtherAMERIHEALTH PPO/PA BS
NJ010006249OtherAMERICHOICE
NJ0319406Medicaid
NJ0442932000OtherAMERIHEALTH/KEYSTONE/IBC
NJ18875OtherUNIVERISTY HEALTH PLAN
NJ18875OtherUNIVERISTY HEALTH PLAN
NJ0319406Medicaid