Individual
SERGIU STEFANESCU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 CENTRAL AVE SE FL 4, PMG HOSPITALIST, ALBUQUERQUE, NM 87106-4930
(505) 724-6124
(505) 724-6125
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01082186A
IN
207R00000X
Internal Medicine Physician
200301178
NC
207R00000X
Internal Medicine Physician
Primary
MD2015-0605
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10038847
—
VA
01
—
135E9
BCBS
—
05
—
2006408000
—
WV
01
—
7985633
AETNA
—
01
—
803703
PARTNERS
—
05
—
89135E9
—
NC
01
—
C9670
MEDCOST
—
01
—
P00107272
RR MEDICARE
—
Enumeration date
11/16/2005
Last updated
04/24/2026
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