Individual
PHILIP D ALTEKRUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
859 WILLARD ST, SUITE 430, QUINCY, MA 02169-7482
(617) 847-1950
(617) 774-1490
Mailing address
19 LONGFELLOW RD, CAMBRIDGE, MA 02138-4737
(617) 576-0699
(617) 774-1490
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
57260
MA
2084P0804X
Child & Adolescent Psychiatry Physician
57260
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y02415
BLUE CROSS
MA
Enumeration date
07/25/2006
Last updated
09/11/2025
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