Organization
RONALD J ROSANDICH, M.D. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD JOHN ROSANDICH MD (PRESIDENT)
(505) 268-2481
Entity
Organization
Contact information
Practice address
8010 MOUNTAIN RD NE, ALBUQUERQUE, NM 87110-7840
(505) 268-2481
Mailing address
8010 MOUNTAIN RD NE, ALBUQUERQUE, NM 87110-7840
(505) 268-2481
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
70-192
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01780891-000
NM TAX ID NUMBER
NM
Enumeration date
03/12/2007
Last updated
08/22/2020
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