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Organization

CACHOMED INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANIEL RADUNSKY MD (CEO/MEDICAL DIRECTOR)
(505) 919-8598
Entity
Organization

Contact information

Practice address
1692 HOSPITAL DR, SANTA FE, NM 87505-4754
(505) 577-3186
Mailing address
1692 HOSPITAL DR, SANTA FE, NM 87505-4754

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2008-0026
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
16405358
NM
Enumeration date
03/11/2014
Last updated
03/11/2014
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