National Provider Identifier Database

MARISA R ALTAMIRANO, PA-C – NPI #1679247233
Surgical


Contact Information

MARISA R ALTAMIRANO, PA-C
113 W ESSEX ST
MAYWOOD, NJ07607-1023
Phone: 201-289-5551
Fax:
Website:
Specialty Taxonomy Code
* Surgical 363AS0400X

* Indicates primary specialty

NPI Profile & details for MARISA R ALTAMIRANO

NPI Number 1679247233
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 08/05/2021
Last updated 12/18/2024 - More than a year ago
Sole proprietor1 No
Identifiers
  • NJ License #: 25MP00637000
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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