MARISA RENEE ALTAMIRANO PA-C
Individual Provider (NPI-1)
Active
Physician Assistant, Surgical
Provider Information
- NPI Number
1679247233- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 113 W ESSEX ST, MAYWOOD, NJ, 076071023
- Phone
- (201) 289-5551
Specialties & Taxonomies
Physician Assistant, Surgical
Primary License: NJ #25MP00637000