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Individual
DR. RUSSELL S. ALTERMAN
Active
Individual
DR. RUSSELL S. ALTERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20A6838
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00AX68380
CALOPTIMA
CA
01
—
020A68380
BLUE SHIELD
CA
01
—
20A6838
BLUE CROSS
CA
05
—
20AX68380
—
CA
01
—
P00074394
GOOD SAM RAILROAD
CA
Enumeration date
05/23/2006
Last updated
03/13/2015
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