| Doctor Name: | DR. HERNAN ORLANDO ALTAMAR |
| NPI Number: | 1033180062 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 01049774 |
| Business Practice Address: | 8901 Wisconsin Ave Building 9, 2nd Floor Bethesda, MD - 208890004 |
| Business Phone Number: | 3012954270 |
| Business Fax Number: | 3014002320 |
| Mailing Address: | 8901 Wisconsin Ave, Department Of Urology, Walter Reed Nmmc BETHESDA |
| State: | MD |
| Postal Code: | 208890004 |
| Phone Number: | 3012954275 |
| Fax Number: | 3014002320 |
| NPI Enumeration Date: | 01/28/2006 |
| NPI Last Update Date: | 10/30/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 171000000X |
| License Number: | 01049774 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Military Health Care Provider |
| Taxonomy Specialization: | |
| Taxonomy Definition: | Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |