Individual
SUSAN N. MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3RD AMBULATORY CARE CTR, 2211 LOMAS BLVD. NE, ALBUQUERQUE, NM 87131-0001
(505) 272-5551
Mailing address
2211 LOMAS BLVD NE, MSC10 5590, ALBUQUERQUE, NM 87131-0001
(505) 272-5551
Taxonomy
Speciality
Code
Description
License number
State
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
99-84
NM
Other
Enumeration date
07/30/2006
Last updated
03/17/2008
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