Individual
RONALD W BRONITSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1101 MEDICAL ARTS AVE NE, PMG SOUTHWEST PULMONARY CRITICAL CARE, ALBUQUERQUE, NM 87102-2706
(505) 842-5105
(505) 842-6209
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-5356
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
8120
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32300
—
NM
Enumeration date
10/03/2006
Last updated
02/10/2009
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