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Individual

ROBERT S ALTIN

Active
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Individual

ROBERT S ALTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA04092900
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0930008
NJ
01
P00385912
RAILROAD MEDICARE
NJ
01
P00758348
RAILROAD MEDICARE
NJ
01
P00847751
RAILROAD MEDICARE
NJ
Enumeration date
06/07/2006
Last updated
11/22/2011
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