Provider Demographics
NPI:1932139342
Name:ALTMAN, JAMIE F (MD)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:F
Last Name:ALTMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:176 S NEW MIDDLETOWN RD STE 203
Mailing Address - Street 2:
Mailing Address - City:MEDIA
Mailing Address - State:PA
Mailing Address - Zip Code:19063-5255
Mailing Address - Country:US
Mailing Address - Phone:610-566-7300
Mailing Address - Fax:610-891-8973
Practice Address - Street 1:176 S NEW MIDDLETOWN RD STE 203
Practice Address - Street 2:
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063
Practice Address - Country:US
Practice Address - Phone:610-566-7300
Practice Address - Fax:610-891-8973
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD421271207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
2149419000OtherAMERIHEALTH HMO
001465172OtherBCBS
1465172OtherHIGHMARK
2149419000OtherIBC
001465172OtherAMERIHEALTH
001465172OtherPERSONAL CHOICE
3473388OtherAETNA
P00128279OtherMEDICARE RAILROAD
209082OtherCOVENTRY HMO AND PPO
065172OtherAMERIHEALTH BLAIR MILL
2149419000OtherKEYSTONE EAST AND 65 ONLY
001465172OtherAMERIHEALTH
2149419000OtherAMERIHEALTH HMO