Organization
MONA ABOUSLEMAN, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONA L ABOUSLEMAN MD (PHYSICIAN/OWNER)
(505) 312-8551
Entity
Organization
Contact information
Practice address
4800 HARDWARE DR NE STE A, ALBUQUERQUE, NM 87109
(505) 312-8551
(505) 672-7917
Mailing address
4800 HARDWARE DR NE STE A, ALBUQUERQUE, NM 87109-2025
(505) 312-8551
(505) 672-7917
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
MD2007-0213
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85324248
—
NM
Enumeration date
06/28/2013
Last updated
06/09/2018
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