Organization
ALBUQUERQUE GASTROENTEROLOGY ASSOC PC
Active
Organization
ALBUQUERQUE GASTROENTEROLOGY ASSOC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIJAY P AGARWAL MD (OWNER)
(505) 766-5471
Entity
Organization
Contact information
Practice address
200 OAK ST NE, SUITE 1, ALBUQUERQUE, NM 87106-4740
(505) 766-5471
(505) 766-6883
Mailing address
200 OAK ST NE, SUITE 1, ALBUQUERQUE, NM 87106-4740
(505) 766-5471
(505) 766-6883
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
89141
NM
Other
Enumeration date
01/10/2007
Last updated
10/11/2012
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