Individual
MARK DAVID ALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Mailing address
765 E ROUTE 70, BUILDING A, MARLTON, NJ 08053-2341
(856) 552-4347
(856) 797-4785
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
0101259576
VA
2084P0800X
Psychiatry Physician
036139217
IL
2084P0800X
Psychiatry Physician
1745
WI
2084P0800X
Psychiatry Physician
25MA08775500
NJ
2084P0800X
Psychiatry Physician
C1-0010413
DE
2084P0800X
Psychiatry Physician
C161292
CA
2084P0800X
Psychiatry Physician
MD434911
PA
2084P0800X
Psychiatry Physician
MED-PHYS-LIC-48691
MT
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
036139217
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0331082
—
NJ
Enumeration date
10/25/2006
Last updated
02/05/2026
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