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Individual

FENTON MCCARTHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
502 ELM ST NE, ALBUQUERQUE, NM 87102
(505) 841-1000
(505) 843-2956
Mailing address
502 ELM ST NE, ALBUQUERQUE, NM 87102-2512
(505) 841-1000
(505) 843-2956

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MT197425
PA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD2018-0635
NM
390200000X
Student in an Organized Health Care Education/Training Program
MT197425
PA

Other

Enumeration date
05/17/2010
Last updated
08/16/2024
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