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Contact Information

MARISA R ALTAMIRANO, PA-C
113 W ESSEX ST
MAYWOOD, NJ07607-1023
 Phone: 201-289-5551
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MARISA R ALTAMIRANO · (Female)

NPI # 1679247233
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 08/05/2021
Last updated 12/18/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MP00637000
Hospital affiliation(s) Not Available
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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