Organization
UNM MEDICAL GROUP INC
Active
Other names
Department of Pathology
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY R. MASCIOTRA (COO)
(505) 272-8950
Entity
Organization
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2745
(505) 272-3200
Mailing address
933 BRADBURY DR SE, SUITE 2222, ALBUQUERQUE, NM 87106-4374
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
—
—
Other
Enumeration date
02/25/2010
Last updated
11/17/2014
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