Provider Demographics
NPI:1700670502
Name:ALTER, NOAH (BS)
Entity type:Individual
Prefix:
First Name:NOAH
Middle Name:
Last Name:ALTER
Suffix:
Gender:M
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5183 NW 25TH WAY
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33496-2209
Mailing Address - Country:US
Mailing Address - Phone:561-866-9235
Mailing Address - Fax:
Practice Address - Street 1:5183 NW 25TH WAY
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33496-2209
Practice Address - Country:US
Practice Address - Phone:561-866-9235
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program