Provider Demographics
NPI:1568400497
Name:ALTSCHULER, MORTON (MD)
Entity Type:Individual
Prefix:
First Name:MORTON
Middle Name:
Last Name:ALTSCHULER
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 1:1299 LAMBERTON DR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-3411
Mailing Address - Country:US
Mailing Address - Phone:301-649-6100
Mailing Address - Fax:301-649-1920
Practice Address - Street 1:1299 LAMBERTON DR
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20902-3411
Practice Address - Country:US
Practice Address - Phone:301-649-6100
Practice Address - Fax:301-649-1920
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0000232207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD000B97M52Medicare ID - Type Unspecified
MDB93249Medicare UPIN