Provider Demographics
NPI:1528048337
Name:ALTMAN, EVAN MATTHEW (DO)
Entity type:Individual
Prefix:DR
First Name:EVAN
Middle Name:MATTHEW
Last Name:ALTMAN
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Gender:M
Credentials:DO
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Mailing Address - Street 1:100 BREWSTER BLVD
Mailing Address - Street 2:NAVAL HOSPITAL
Mailing Address - City:CAMP LEJEUNE
Mailing Address - State:NC
Mailing Address - Zip Code:28547-2538
Mailing Address - Country:US
Mailing Address - Phone:910-450-4136
Mailing Address - Fax:910-450-4558
Practice Address - Street 1:100 BREWSTER BLVD
Practice Address - Street 2:NAVAL HOSPITAL
Practice Address - City:CAMP LEJEUNE
Practice Address - State:NC
Practice Address - Zip Code:28547-2538
Practice Address - Country:US
Practice Address - Phone:910-450-4136
Practice Address - Fax:910-450-4558
Is Sole Proprietor?:No
Enumeration Date:2006-01-18
Last Update Date:2023-10-31
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Provider Licenses
StateLicense IDTaxonomies
NC2009-017962084P0800X
VA01022014682084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry