Individual
DR. ELAINE MARIE DIFEDERICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
MSC10 5580 1 UNM, UNM HSC OBGYN, ALBUQUERQUE, NM 87131
(505) 272-6386
(505) 272-3921
Mailing address
933 BRADBURY SE, STE 2222, UNM HSC OBGYN, ALBUQUERQUE, NM 87106
(505) 272-3120
(505) 272-8060
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
MD19904
OR
207VM0101X
Maternal & Fetal Medicine Physician
Primary
MD2007-0481
NM
Other
Enumeration date
05/15/2007
Last updated
05/07/2013
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