NPI 1679247233 · live from the CMS NPI Registry
Marisa Renee Altamirano, PA-C
Physician Assistant, Surgical in Maywood, NJ. National Provider Identifier 1679247233, active.
NPI record
| NPI | 1679247233 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Surgical 363AS0400X |
| Practice location | 113 W Essex St, Maywood, NJ 07607 |
| Practice phone | 201-289-5551 |
| Enumerated | August 5, 2021 |
| Last updated | December 18, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Surgical primary | 363AS0400X | 25MP00637000 (NJ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.