Provider Information for 1760040364
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
CARMEN ALTOPIEDI I
Sex: Male
NPI: 1760040364
Last Updated: 2019-05-30
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1760040364 | ||||||||
| Enumeration Date | 2019-05-30 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 870 N 28TH ST APT 114 PHILADELPHIA, PA 19130-1728 United States Phone: 215-353-6802 | Fax: | ||||||||
| Primary Practice Address | 870 N 28TH ST APT 114 PHILADELPHIA, PA 19130-1728 United States Phone: 215-353-6802 | Fax: | ||||||||
| Secondary Practice Address(es) | |||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|