Organization
GERALD S FREDMAN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD S. FREDMAN M.D. (PSYCHIATRIST/PRESIDENT)
(505) 837-9696
Entity
Organization
Contact information
Practice address
2741 INDIAN SCHOOL RD. NE, ALBUQUERQUE, NM 87106-2653
(505) 837-9696
(505) 883-3275
Mailing address
2741 INDIAN SCHOOL RD. NE, ALBUQUERQUE, NM 87106-2653
(505) 837-9696
(505) 883-3275
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
76172
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00009589
—
NM
01
—
00NM00D979
BLUE CROSS BLUE SHIELD
NM
Enumeration date
09/02/2006
Last updated
04/24/2012
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