Individual
DR. EUGENE FAYERBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 CENTRAL AVE SE, PMG EMERGENCY MEDICINE, ALBUQUERQUE, NM 87106-4930
(505) 841-1125
(505) 841-1737
Mailing address
PO BOX 26666, PRESBYTERIAN HEALTHCARE SERVICES, ALBUQUERQUE, NM 87125
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
MD2014-0928
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2012
Last updated
02/19/2015
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