Provider Demographics
NPI:1013100189
Name:ALTAMURO, JAMES F
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:F
Last Name:ALTAMURO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MANAHAWKIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08050-2931
Mailing Address - Country:US
Mailing Address - Phone:609-597-2800
Mailing Address - Fax:609-597-0571
Practice Address - Street 1:85 N MAIN ST
Practice Address - Street 2:
Practice Address - City:MANAHAWKIN
Practice Address - State:NJ
Practice Address - Zip Code:08050-2931
Practice Address - Country:US
Practice Address - Phone:609-597-2800
Practice Address - Fax:609-597-0571
Is Sole Proprietor?:No
Enumeration Date:2007-08-22
Last Update Date:2007-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJU12520Medicare UPIN
NJ658380TZCMedicare PIN