Individual
AJA M. SANZONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1405 VEGAS VERDES, UNIT 315, SANTA FE, NM 87507-3009
(917) 582-6241
Mailing address
1405 VEGAS VERDES, UNIT 315, SANTA FE, NM 87507-3009
(917) 582-6241
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD2011-0009
NM
2080P0208X
Pediatric Infectious Diseases Physician
MD.200503
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04028532
—
MS
05
—
1216089
—
LA
Enumeration date
04/08/2008
Last updated
02/04/2011
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