Albuquerque Dermatology Associates, Pa
LBN: Albuquerque Dermatology Associates, Pa
Albuquerque Dermatology Associates, Pa is an health care organization with primary practice located at 4610 Jefferson Ln Ne , Albuquerque NM 87109-2117. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty.
Albuquerque Dermatology Associates, Pa can be contacted via phone (505) 872-4700, or through Miller, Estelle B via phone (505) 872-4700.
Contact Information
Primary practice address
4610 Jefferson Ln Ne
Albuquerque NM 87109-2117
Phone: (505) 872-4700
Fax: (505) 872-4709
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 2002-0450 | New Mexico |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | R46867NM | New Mexico |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD2005-0405 | New Mexico |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 2000-166 | New Mexico |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 2000-166 | New Mexico |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 2000-166 | New Mexico |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 2002-0450 | New Mexico |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | R46867NM | New Mexico |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | MD2005-0405 | New Mexico |
Profile Details
| NPI number | 1821045329 |
|---|---|
| LBN Legal business name | Albuquerque Dermatology Associates, Pa |
| DBA Doing business as | |
| Authorized official | Miller, Estelle B |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 28th, 2006 |
| Last updated | Mar 6th, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821045329 | NPPES |
| New Mexico | MEDICAID | 76659755 | |
| New Mexico | MEDICAID | F1418 | |
| New Mexico | MEDICAID | 44792 | |
| New Mexico | MEDICAID | 47235306 | |
| New Mexico | MEDICAID | 93885865 |
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