Individual
DANIEL MAOZ-METZL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
502 ELM ST NE, ALBUQUERQUE, NM 87102
(615) 309-2636
Mailing address
502 ELM ST NE, ALBUQUERQUE, NM 87102-2512
(615) 309-2636
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD2018-0540
NM
208600000X
Surgery Physician
MD461655
PA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD2018-0540
NM
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD461655
PA
Other
Enumeration date
12/15/2010
Last updated
11/01/2022
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