Individual
JONATHAN D ALTLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4815 LIBERTY AVE STE 439, PITTSBURGH, PA 15224-2156
(412) 578-3925
(412) 605-6364
Mailing address
4815 LIBERTY AVE STE 439, PITTSBURGH, PA 15224-2156
(412) 578-3925
(412) 605-6364
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA056429
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103209166
—
PA
Enumeration date
09/30/2005
Last updated
09/30/2020
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