Individual
NORMAN R KACZMAREK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
539 HARKLE RD, SUITE B, SANTA FE, NM 87505-4782
(505) 988-9769
(505) 989-8078
Mailing address
539 HARKLE RD, SUITE B, SANTA FE, NM 87505-4782
(505) 988-9769
(505) 989-8078
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
78-43
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000029991
—
NM
Enumeration date
09/21/2006
Last updated
07/08/2007
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