Individual
IRENE AGOSTINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 272-2111
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
89142
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
23978
—
NM
Enumeration date
04/26/2006
Last updated
03/12/2025
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