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Individual

DR. MARY-THERESA LEVENTHAL BAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
625 SILVER AVE SW, 2ND FLOOR, ALBUQUERQUE, NM 87102-3123
(505) 272-6849
Mailing address
625 SILVER AVE SW, 2ND FLOOR, ALBUQUERQUE, NM 87102-3123
(505) 272-6849

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0039907
MD
2080C0008X
Child Abuse Pediatrics Physician
MD2013-0585
NM

Other

Enumeration date
01/06/2009
Last updated
10/08/2013
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