Urology Group Of New Mexico, Pc

NPI 1699846147 - Urology - 208800000X

NPI Details
NPI 1699846147
Enumeration Date 11/13/2006
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name FREDERICK J FREDERICK
Position PRESIDENT
Phone (505) 872-4090
Fax (505) 872-4097
Practice Location
4161 MONTGOMERY BLVD NE
ALBUQUERQUE NM, 87109-6742, US
Phone (505) 872-4090
Fax (505) 872-4097
Business Location
4161 MONTGOMERY BLVD NE
ALBUQUERQUE NM, 87109-6742, US
Phone (505) 872-4090
Fax (505) 872-4097
Toxanomy
Taxonomy Code 208800000X
License State New Mexico
License Number 021487880000
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According to our database, Urology Group Of New Mexico, Pc NPI is 1699846147, taxonomy code is 208800000X and license number is 021487880000, license state is located at New Mexico. Urology Group Of New Mexico, Pc physically located at 4161 Montgomery Blvd Ne, Albuquerque NM, 87109-6742. NPI Number 1033115704 has the healthcare provider type.

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1699846147 NPI number is provided on an as is basis without warranty of any kind. 1699846147 is maintained by the National Plan & Provider Enumeration System. The contents of Urology Group Of New Mexico, Pc are for informational purposes only.