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1477574614
IVAN HERCEG
ALBUQUERQUE, NM
NPI
1477574614
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: NM 98-287)
Enumeration Date
2006-07-22
Last Update Date
2007-07-08
Business Address
IVAN HERCEG MD
SURGE BLDG. 1-WEST 2701 FRONTIER NE
ALBUQUERQUE, NM 87106
Phone number: 505-272-2610
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Mailing Address
IVAN HERCEG MD
2701 FRONTIER NE MSC11 6120
ALBUQUERQUE, NM 87106
Phone number: 505-272-2610
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