Provider Demographics
NPI:1750357430
Name:ALTERMAN, RON L (MD)
Entity type:Individual
Prefix:DR
First Name:RON
Middle Name:L
Last Name:ALTERMAN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:110 FRANCIS STREET,
Mailing Address - Street 2:SUITE 3B
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215
Mailing Address - Country:US
Mailing Address - Phone:617-632-9910
Mailing Address - Fax:617-632-0949
Practice Address - Street 1:110 FRANCIS STREET,
Practice Address - Street 2:SUITE 3B
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-6501
Practice Address - Country:US
Practice Address - Phone:617-632-9795
Practice Address - Fax:617-632-0949
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2011-12-28
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Provider Licenses
StateLicense IDTaxonomies
MA249759207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01541515Medicaid
NY56J402Medicare ID - Type UnspecifiedEMPIRE MEDICARE
NY01541515Medicaid