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Individual
CHRISTOPHER ALTAMURO
Active
Individual
CHRISTOPHER ALTAMURO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MB54988
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0533428000
AMERIHEALTH
—
01
—
080179131
RR MEDICARE
—
01
—
10650756
CAQH
NJ
01
—
223772973
TAX ID
NJ
01
—
4248043
AETNA PIN
NJ
01
—
496931
AETNA/HMO
—
05
—
5215901
—
NJ
Enumeration date
09/29/2005
Last updated
03/13/2009
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