ALFRED A. VAN BAAK

ALBUQUERQUE, NM
NPI1528355153
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084N0400X Psychiatry & Neurology, Neurology
(Licence: NM  MD2016-0051)
Enumeration Date2011-07-04
Last Update Date2019-06-03
Business Address
ALFRED A. VAN BAAK M.D
8300 CONSTITUTION AVE NE BLDG D
ALBUQUERQUE, NM 87110-7613
Phone number: 505-291-2730
Mailing Address
ALFRED A. VAN BAAK M.D
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-6770
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