Provider Demographics
NPI:1841209350
Name:ALTOMARE AND ASSOCIATES
Entity Type:Organization
Organization Name:ALTOMARE AND ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:J
Authorized Official - Last Name:ALTOMARE
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:610-776-4684
Mailing Address - Street 1:5930 HAMILTON BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:WESCOSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18106-9654
Mailing Address - Country:US
Mailing Address - Phone:610-398-8141
Mailing Address - Fax:610-366-7241
Practice Address - Street 1:421 W CHEW ST
Practice Address - Street 2:SACRED HEART HOSPITAL NUCLEAR MEDICINE DEPT
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18102-3406
Practice Address - Country:US
Practice Address - Phone:610-776-4685
Practice Address - Fax:610-366-7241
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0000429566OtherHIGHMARK BLUE SHIELD
PA0011229930006Medicaid
PA0000429566OtherHIGHMARK BLUE SHIELD