Provider Demographics
NPI:1992892202
Name:MALTER, ALAN S (MD)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:S
Last Name:MALTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:103 LINDABURY LANE
Mailing Address - Street 2:GENERAL DELIVERY
Mailing Address - City:POTTERSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07979-9999
Mailing Address - Country:US
Mailing Address - Phone:908-253-3122
Mailing Address - Fax:908-704-1790
Practice Address - Street 1:555 CENTRAL PARK AVE
Practice Address - Street 2:#353
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-1049
Practice Address - Country:US
Practice Address - Phone:914-472-5811
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMA 0496452084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJA62393Medicare UPIN