Provider Demographics
NPI:1194769505
Name:ALTMAN, JEFFREY H (DC)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:H
Last Name:ALTMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:506 RIVER RD
Mailing Address - Street 2:
Mailing Address - City:NEW MILFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07646-1928
Mailing Address - Country:US
Mailing Address - Phone:201-262-0470
Mailing Address - Fax:201-262-0476
Practice Address - Street 1:506 RIVER RD
Practice Address - Street 2:
Practice Address - City:NEW MILFORD
Practice Address - State:NJ
Practice Address - Zip Code:07646-1928
Practice Address - Country:US
Practice Address - Phone:201-262-0470
Practice Address - Fax:201-262-0476
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-15
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC002310111N00000X
NJMC02310111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
No111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJT45057Medicare UPIN
NJAL447243Medicare ID - Type Unspecified