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Individual

MATTHEW DENG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
DEPT OF RADIOLOGY MSC 10 5530, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-0011
Mailing address
DEPT OF RADIOLOGY MSC 10 5530, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-0011

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
TEMPORARY TRANINING
DC
207R00000X
Internal Medicine Physician
TRAINNING
DC
2085R0202X
Diagnostic Radiology Physician
Primary
MD2016-0099
NM
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
07/23/2008
Last updated
07/12/2016
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