Doctor Name: | RICHARD A ALTWERGER |
NPI Number: | 1407837990 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | N0031701 |
Business Practice Address: | 1528 Columbia Tpke Suite102 Castleton, NY - 120339584 |
Business Phone Number: | 5184793338 |
Business Fax Number: | 5184793358 |
Mailing Address: | 1528 Columbia Tpke, Suite102 CASTLETON |
State: | NY |
Postal Code: | 120339584 |
Phone Number: | 5184793338 |
Fax Number: | 5184793358 |
NPI Enumeration Date: | 11/10/2005 |
NPI Last Update Date: | 11/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | N0031701 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |