DERMATOLOGY OF NEW MEXICO LLC is a clinic center in Albuquerque, NM. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). DERMATOLOGY OF NEW MEXICO LLC NPI is 1104468438. The provider is registered as an organization entity type.
The provider's business location address is:
610 BROADWAY BLVD NE
ALBUQUERQUE, NM
ZIP 87102-372
Phone: (505) 225-2500
Fax: (505) 225-2025
The provider's authorized official is Suraj2252500 Reddy .
The authorized official title is Ceo / Md and has the following contact phone number (505) 225-2500.
The CLIA number assigned to this NPI record is 32D2177486 - physician office with a certificate type of Certificate of Compliance.
The enumeration date for this NPI number is 10/8/2019 and was last updated on 10/8/2019.