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Individual

RICHARD A ALTWERGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1528 COLUMBIA TPKE, SUITE102, CASTLETON, NY 12033-9584
(518) 479-3338
(518) 479-3358
Mailing address
1528 COLUMBIA TPKE, SUITE102, CASTLETON, NY 12033-9584
(518) 479-3338
(518) 479-3358

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N0031701
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00703957
NY
Enumeration date
11/10/2005
Last updated
11/16/2015
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