Individual
CHRISTOPHER ALTAMURO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2848 S DELSEA DR, SUITE 4B, VINELAND, NJ 08360-7042
(856) 205-7070
(856) 205-0145
Mailing address
8 LAKE SHORE DR, GLASSBORO, NJ 08028-2718
(856) 863-9928
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MB54988
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0533428000
AMERIHEALTH
—
01
—
080179131
RR MEDICARE
—
01
—
10650756
CAQH
NJ
01
—
223772973
TAX ID
NJ
01
—
4248043
AETNA PIN
NJ
01
—
496931
AETNA/HMO
—
05
—
5215901
—
NJ
Enumeration date
09/29/2005
Last updated
03/13/2009
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