Individual
PETER KOENIGSBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9101 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87111
(505) 275-4288
(505) 275-4203
Mailing address
PO BOX 26028, ALBUQUERQUE, NM 87125-6028
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9969
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74376
—
NM
Enumeration date
07/08/2006
Last updated
10/31/2024
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