Provider Demographics
NPI:1033180062
Name:ALTAMAR, HERNAN ORLANDO (MD)
Entity type:Individual
Prefix:DR
First Name:HERNAN
Middle Name:ORLANDO
Last Name:ALTAMAR
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 1:4 ELLIOT WAY STE 200
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03103-3544
Mailing Address - Country:US
Mailing Address - Phone:603-669-9200
Mailing Address - Fax:603-669-9286
Practice Address - Street 1:330 BORTHWICK AVE STE 210
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-7111
Practice Address - Country:US
Practice Address - Phone:603-742-1444
Practice Address - Fax:603-742-1443
Is Sole Proprietor?:No
Enumeration Date:2006-01-28
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN01049774171000000X
TN43758208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
No171000000XOther Service ProvidersMilitary Health Care Provider