Individual
DR. RONALD P KUBICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4901 LANG AVE NE, ALBUQUERQUE, NM 87109
(505) 842-8171
(505) 246-0684
Mailing address
4901 LANG AVE NE, ALBUQUERQUE, NM 87109-4495
(505) 842-8171
(505) 246-0684
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
042-0011750
VT
207RX0202X
Medical Oncology Physician
14350
NH
207RX0202X
Medical Oncology Physician
Primary
84-208
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1016393
—
VT
05
—
30908666
—
NH
01
—
7060250
AETNA
—
05
—
73887
—
NM
01
—
830007509
RAILROAD MEDICARE
—
Enumeration date
07/15/2005
Last updated
08/12/2019
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