Albuquerque Dermatology Associates, PA
Albuquerque Dermatology Associates, PA provides Dermatology Physician services in Albuquerque, New Mexico. Licensed in New Mexico. Registered with an NPI since 2006.
- Licensed in
- NM
- In the registry since
- 2006
- Specialties on file
- 9
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4610 Jefferson Ln NEAlbuquerque, NM 87109-2117 Not confirmed with CMS for 18 years — call before visiting
Phone: (505) 872-4700
Fax: (505) 872-4709
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X · Licence 2000-166 (NM) |
|---|---|
| Dermatology Physician | Taxonomy 207N00000X · Licence 2002-0450 (NM) |
| Dermatology Physician | Taxonomy 207N00000X · Licence R46867NM (NM) |
| Dermatology Physician | Taxonomy 207N00000X · Licence MD2005-0405 (NM) |
| MOHS-Micrographic Surgery Physician | Taxonomy 207ND0101X · Licence 2000-166 (NM) |
| Procedural Dermatology Physician | Taxonomy 207NS0135X · Licence 2000-166 (NM) |
| Procedural Dermatology Physician | Taxonomy 207NS0135X · Licence 2002-0450 (NM) |
| Procedural Dermatology Physician | Taxonomy 207NS0135X · Licence R46867NM (NM) |
| Procedural Dermatology Physician | Taxonomy 207NS0135X · Licence MD2005-0405 (NM) |
Record details
| NPI number | 1821045329 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Estelle Miller — Practice Manager · (505) 872-4700 |
| NPI enumerated | May 28, 2006 |
| Last updated in NPPES | March 6, 2008 |
| Mailing address | 4610 Jefferson Ln Ne, Albuquerque, NM 87109-2117 |
Other providers in Albuquerque
-
Albuquerque Center for Dermatology, PA
8100 Constitution Pl NE Ste 310, Albuquerque, NM 87110-7643 · (505) 293-5333
-
Ran Bang, MD
1021 Medical Arts Ave NE Medical Arts Ctr, Albuquerque, NM 87102-2708 · (505) 272-6222
-
Dr. Alan Charles Blaugrund, MD
321 Big Horn Ridge Dr NE, Albuquerque, NM 87122-1454 · (505) 797-7610
-
Gary Bommelaere, MD
1021 Medical Arts Ave NE Medical Arts Ctr, Albuquerque, NM 87102-2708 · (505) 272-6222
-
Emily Jeanne Bryl, PA
5120 Masthead St NE, Albuquerque, NM 87109-4366 · (505) 243-7546