Organization
SHERIDAN CHILDREN HEALTHCARE SERVICES OF NEW MEXICO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT COWARD (PRESIDENT)
(954) 838-2371
Entity
Organization
Contact information
Practice address
4701 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87109-1219
(954) 838-2371
Mailing address
PO BOX 452036, SUNRISE, FL 33345-2036
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
98583824
—
NM
01
—
NM007D87
BC/BS
NM
Enumeration date
11/29/2005
Last updated
04/01/2011
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