Provider Demographics
NPI:1891756284
Name:JAMES F ALTAMURO INC
Entity type:Organization
Organization Name:JAMES F ALTAMURO INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:FRANK
Authorized Official - Last Name:ALTAMURO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:609-597-2800
Mailing Address - Street 1:85 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MANAHAWKIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08050-2931
Mailing Address - Country:US
Mailing Address - Phone:609-597-2800
Mailing Address - Fax:609-597-0571
Practice Address - Street 1:85 N MAIN ST
Practice Address - Street 2:
Practice Address - City:MANAHAWKIN
Practice Address - State:NJ
Practice Address - Zip Code:08050-2931
Practice Address - Country:US
Practice Address - Phone:609-597-2800
Practice Address - Fax:609-597-0571
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-28
Last Update Date:2007-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00386200111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
U12520Medicare UPIN
NJ088839Medicare PIN