Provider Demographics
NPI:1851433957
Name:ALTERMAN, MARINA VALENTINOVNA (DC)
Entity Type:Individual
Prefix:
First Name:MARINA
Middle Name:VALENTINOVNA
Last Name:ALTERMAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12813 CLARKSBURG SQUARE RD
Mailing Address - Street 2:
Mailing Address - City:CLARKSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20871-4342
Mailing Address - Country:US
Mailing Address - Phone:301-916-7659
Mailing Address - Fax:
Practice Address - Street 1:5912 HUBBARD DR
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-4823
Practice Address - Country:US
Practice Address - Phone:301-770-1818
Practice Address - Fax:301-770-1894
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS03480111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor