Individual
ADAM A ALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 FODEN RD STE 103, SOUTH PORTLAND, ME 04106
(207) 828-1122
Mailing address
65 SPRUCE ST, PORTLAND, ME 04102-4068
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MC22206
ME
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/20/2010
Last updated
08/14/2019
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