Provider Demographics
NPI:1679547798
Name:ALTMAN, MATTHEW STEPHEN (DC)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:STEPHEN
Last Name:ALTMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2106 NEW RD
Mailing Address - Street 2:SUITE D-2
Mailing Address - City:LINWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08221-1046
Mailing Address - Country:US
Mailing Address - Phone:609-927-7922
Mailing Address - Fax:609-927-2039
Practice Address - Street 1:2106 NEW RD
Practice Address - Street 2:SUITE D-2
Practice Address - City:LINWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08221-1046
Practice Address - Country:US
Practice Address - Phone:609-927-7922
Practice Address - Fax:609-927-2039
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2010-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00586400111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1458716OtherAMERIHEALTH PPO
NJ2143816000OtherAMERIHEALTH HMO
NJ5927277OtherCIGNA
NJ2276030OtherUNITED HEALTHCARE
NJP2712598OtherOXFORD
NJ7250404OtherAETNA
NJ5927277OtherCIGNA
NJU91553Medicare UPIN