Provider Demographics
NPI:1831698240
Name:ALTMAN, HARRY
Entity type:Individual
Prefix:MR
First Name:HARRY
Middle Name:
Last Name:ALTMAN
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 1:1004 REGENCY CIR
Mailing Address - Street 2:
Mailing Address - City:BLUE BELL
Mailing Address - State:PA
Mailing Address - Zip Code:19422-1037
Mailing Address - Country:US
Mailing Address - Phone:215-643-6637
Mailing Address - Fax:215-646-6638
Practice Address - Street 1:1004 REGENCY CIR
Practice Address - Street 2:
Practice Address - City:BLUE BELL
Practice Address - State:PA
Practice Address - Zip Code:19422-1037
Practice Address - Country:US
Practice Address - Phone:215-643-6637
Practice Address - Fax:215-646-6638
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-12
Last Update Date:2018-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171WV0202X
PAPA097368171WH0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171WH0202XOther Service ProvidersContractorHome Modifications
No171WV0202XOther Service ProvidersContractorVehicle Modifications