Grambort, Frederick Duff

Grambort, Frederick Duff is an individual health care provider with primary practice located at 8308 Constitution Pl Ne , Albuquerque NM 87110-7637. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Grambort, Frederick Duff can be contacted via phone (505) 293-1333.

Contact Information

Primary practice address
8308 Constitution Pl Ne Albuquerque NM 87110-7637
Fax: (505) 293-4357
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 82-53 New Mexico

Profile Details

NPI number 1013917384
LBN Legal business name Grambort, Frederick Duff
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Jul 8th, 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 1013917384 NPPES
New Mexico Other 003 CIMARRON HEALTH PLAN
New Mexico Other NM001088 CIMARRON HEALTH PLAN
New Mexico Other 16218 CIMARRON HEALTH PLAN

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