NPI 1104139963 · live from the CMS NPI Registry
David F Altamirano, M.D.
Family Medicine in Bridgeport, CT. National Provider Identifier 1104139963, active.
NPI record
| NPI | 1104139963 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 2800 Main St, Bridgeport, CT 06606 |
| Practice phone | 203-576-6000 |
| Mailing address | 59 Michael Ln, Naugatuck, CT 06770 |
| Enumerated | July 22, 2010 |
| Last updated | July 31, 2013 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | 051804 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.