Individual
MAAYAN MAIA ROSE POLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6801 JEFFERSON ST NE STE 350, ALBUQUERQUE, NM 87109-4361
(505) 847-4100
Mailing address
10705 NELLE AVE NE, ALBUQUERQUE, NM 87111-3938
(505) 470-3103
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
PA2019-0100
NM
363A00000X
Physician Assistant
Primary
PA2019-0100
NM
363A00000X
Physician Assistant
—
—
Other
Enumeration date
09/10/2019
Last updated
02/12/2025
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