Biazak, Gary J.

Biazak, Gary J. is an individual health care provider with primary practice located at 1100 Central Ave Se , Albuquerque NM 87106-4930. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Biazak, Gary J. can be contacted via phone (505) 260-4300.

Contact Information

Primary practice address
1100 Central Ave Se Albuquerque NM 87106-4930
Fax: (505) 260-4338
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 77-133 New Mexico

Profile Details

NPI number 1063415701
LBN Legal business name Biazak, Gary J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2005
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063415701 NPPES
New Mexico MEDICAID 11565
New Mexico MEDICAID 250910
New Mexico MEDICAID 91771337
New Mexico MEDICAID 21113
New Mexico Other NM009C58

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