Individual
DR. EDWARD BENJAMIN CAZZOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4901 LANG AVE NE, ALBUQUERQUE, NM 87109-4495
(505) 842-8171
(505) 857-8479
Mailing address
4901 LANG AVE NE, ALBUQUERQUE, NM 87109-4495
(505) 828-3787
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
NM8125
NM
Other
Enumeration date
10/04/2006
Last updated
02/26/2014
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