| NPI | 1982791109 |
|---|---|
| Other Name | ABQ CENTER FOR DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | VINCENT A MUSCARELLA President 505-293-5333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology Procedural Dermatology (Licence: NM 67-57) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NM 67-57) |
| 207ND0101X Dermatology MOHS-Micrographic Surgery (Licence: NM 67-57) | |
| 207ND0900X Dermatology Dermatopathology (Licence: NM 67-57) | |
| 207NP0225X Dermatology Pediatric Dermatology (Licence: NM 67-57) | |
| Enumeration Date | 2006-10-08 |
| Last Update Date | 2007-08-22 |