Individual
MRS. ANGELIQUE MARIE HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1530 BISHOPS LODGE RD, SANTA FE, NM 87506-0005
(505) 983-1293
(505) 467-8309
Mailing address
1530 BISHOPS LODGE RD, SANTA FE, NM 87506-0005
(505) 983-1293
(505) 467-8309
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD2006-0057
NM
207LP2900X
Pain Medicine (Anesthesiology) Physician
ME64653
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30924049
—
NM
Enumeration date
04/26/2006
Last updated
09/26/2013
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