Individual
PETER ROSANDICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8200 LOUISIANA BLVD NE, NEW MEXICO RHEUMATOLOGY LLC, ALBUQUERQUE, NM 87113-2105
(505) 828-2400
(505) 828-2401
Mailing address
PO BOX 93008, NEW MEXICO RHEUMATOLOGY LLC, ALBUQUERQUE, NM 87199-3008
(505) 828-2400
(505) 828-2401
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
MD2005-0123
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78834295
—
NM
Enumeration date
10/03/2006
Last updated
12/02/2010
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