Duque, Marvin Antonio Porfiro Sison
Duque, Marvin Antonio Porfiro Sison is an individual health care provider with primary practice located at 4901 Lang Ave Ne , Albuquerque NM 87109-4495. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Duque, Marvin Antonio Porfiro Sison can be contacted via phone (505) 842-8171.Contact Information
Primary practice address
4901 Lang Ave Ne
Albuquerque NM 87109-4495
Phone: (505) 842-8171
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 016621A | Indiana |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 242096 | Massachusetts |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | MD2016-0099 | New Mexico |
Profile Details
| NPI number | 1659520823 |
|---|---|
| LBN Legal business name | Duque, Marvin Antonio Porfiro Sison |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2008 |
| Last updated | May 10th, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659520823 | NPPES |
| New Mexico | MEDICAID | 76806057 | |
| New Mexico | MEDICAID | 200934840 |
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