Ma, Mary H

Ma, Mary H is an individual health care provider with primary practice located at 1001 Silver Ave Se Pmg Pediatric Urgent Care, Albuquerque NM 87106-4904. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Ma, Mary H can be contacted via phone (505) 841-1819.

Contact Information

Primary practice address
1001 Silver Ave Se Pmg Pediatric Urgent Care Albuquerque NM 87106-4904
Fax: (505) 841-1998
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 9076 New Mexico

Profile Details

NPI number 1780682914
LBN Legal business name Ma, Mary H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Jul 15th, 2008 - about 16 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 1780682914 NPPES
New Mexico MEDICAID 81908067

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