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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ALBUQUERQUE DERMATOLOGY ASSOCIATES, PA

Active Organization

Dermatology · ALBUQUERQUE, NM

Registration Details

NPI Number
1821045329
Provider Type
Organization
NPI Issued
May 28, 2006 (19.900589678746 yrs)
Last Updated
Mar 6, 2008
Licenses
2000-166 (NM)
2002-0450 (NM)
R46867NM (NM)
MD2005-0405 (NM)
2002-0450 (NM)

Practice Information

Address
4610 JEFFERSON LN NE
ALBUQUERQUE, NM, 871092117
Browse NM providers · Browse ZIP 87109
Phone
5058724700
Fax
5058724709
Primary Specialty
Dermatology
207N00000X
Additional Specialty
Procedural Dermatology
Additional Specialty
Procedural Dermatology
Additional Specialty
Procedural Dermatology
Additional Specialty
Dermatology
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.