SAMIR K KASSICIEH DO PC NPI 1649430802

NPI Information

SAMIR K KASSICIEH, DO, PC is a family medicine in Albuquerque, NM. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SAMIR K KASSICIEH, DO, PC NPI is 1649430802. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1010 BRIDGE BLVD SW
SUITE A
ALBUQUERQUE, NM
ZIP 87105-765
Phone: (505) 877-0212
Fax: (505) 877-0139

The provider's authorized official is Samir K Kassicieh .
The authorized official title is Owner and has the following contact phone number (505) 877-0212.

The enumeration date for this NPI number is 6/11/2008 and was last updated on 11/19/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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