Newly enumerated
The official enumeration date falls within the documented new-enumeration window.
- Enumeration date is 29 days before observation
Type 1 individualNPI 1609792597
BRENDA ALTAMAR
163WX0200X · SUMMIT, NJ
Why this profile is appearing now
Observed change signals
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 163WX0200X | 163WX0200X | Primary |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 0 recorded field change s