David F Altamirano, M.D. Valid NPI

Individual provider · Family Medicine Physician · Bridgeport, CT

NPI

1104139963

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

051804 (CT)

Sex

Male

Sole proprietor

Yes

Enumerated

2010-07-22

Last updated

2013-07-31