Individual
ALICE MAROSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5400 GIBSON SE, ALBUQUERQUE, NM 87108
(505) 262-7026
Mailing address
5400 GIBSON BLVD SE, ALBUQUERQUE, NM 87108-4729
(505) 262-7594
(505) 262-7393
Taxonomy
Speciality
Code
Description
License number
State
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
72-193
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14159
—
NM
Enumeration date
07/11/2006
Last updated
10/08/2010
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