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Individual

THOMAS A PASCUZZI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8208 LOUISIANA BLVD NE STE B, ALBUQUERQUE, NM 87113-1759
(505) 331-0173
(505) 508-5249
Mailing address
8208 LOUISIANA BLVD NE STE B, ALBUQUERQUE, NM 87113-1759
(505) 331-0173
(505) 508-5249

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
U7032
TX
208D00000X
General Practice Physician
Primary
91-108
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000P6535
NM
Enumeration date
05/27/2006
Last updated
03/26/2024
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