Individual
MARIANNE GOSHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5901 HARPER DR NE, ALBUQUERQUE, NM 87109-3587
(505) 823-8233
(505) 823-8243
Mailing address
510 ARIZONA ST SE, RIO RANCHO, NM 87124-4315
(505) 891-2134
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
87-237
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
NM
Enumeration date
05/13/2006
Last updated
07/08/2007
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