Organization
KENNETH P. GOLDBLUM, M.D., LTD.
Active
Organization
KENNETH P. GOLDBLUM, M.D., LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH P. GOLDBLUM M.D. (PRESIDENT)
(505) 205-2917
Entity
Organization
Contact information
Practice address
26 TIERRA MONTE ST NE, ALBUQUERQUE, NM 87122-2102
(505) 453-6554
Mailing address
26 TIERRA MONTE ST NE, ALBUQUERQUE, NM 87122-2102
(505) 453-6554
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
71-145
NM
Other
Enumeration date
10/30/2015
Last updated
10/30/2015
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