Individual provider · Type 1 NPI

Marisa Renee Altamirano, PA-C

Surgical Physician Assistant · Maywood, NJ

NPI number 1679247233 Active

Practice location

113 W Essex St
Maywood, NJ 07607-1023

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X25MP00637000 (NJ)

Surgical Physician Assistant: Definition to come...

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About NPI 1679247233

Marisa Renee Altamirano, PA-C's National Provider Identifier is 1679247233, issued on Aug 5, 2021. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Maywood, NJ. The record was last updated on Dec 18, 2024.