Individual
SALLY M D'ANGELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1518 GIRARD BLVD NE, ALBUQUERQUE, NM 87106-1823
(505) 266-3835
(505) 266-3340
Mailing address
1518 GIRARD BLVD NE, ALBUQUERQUE, NM 87106-1823
(505) 266-3835
(505) 266-3340
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
93-246
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21127
—
NM
Enumeration date
02/15/2007
Last updated
08/01/2012
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