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Organization

DERMATOLOGY & SKIN CANCER CENTER OF NM PC

Active
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Organization

DERMATOLOGY & SKIN CANCER CENTER OF NM PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SANDRA A CANGIOLOSI (EXECUTIVE VP OF OPERATIONS)
(505) 243-7546
Entity
Organization

Contact information

Practice address
5120 MASTHEAD ST NE, ALBUQUERQUE, NM 87109-4366
(505) 243-7546
(505) 243-7547
Mailing address
5120 MASTHEAD ST NE, ALBUQUERQUE, NM 87109-4366
(505) 243-7546
(505) 243-7547

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
207ND0101X
MOHS-Micrographic Surgery Physician
207ND0900X
Dermatopathology Physician

Other

Enumeration date
02/22/2007
Last updated
12/31/2025
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