Individual
DR. ERMENEGILDO E. FREZZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
311 W COUNTRY CLUB RD, STE 1, ROSWELL, NM 88201-5839
(575) 625-3400
(575) 625-3415
Mailing address
311 W COUNTRY CLUB RD, STE 1, ROSWELL, NM 88201-5839
(575) 625-3400
(575) 625-3415
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
M1684
TX
208600000X
Surgery Physician
Primary
MD2006-0035
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159122407
—
TX
Enumeration date
11/30/2005
Last updated
01/05/2017
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