Individual
SAMUEL WEISBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
1018 COAL AVE SE, ALBUQUERQUE, NM 87106-5206
(505) 248-0303
(505) 248-1611
Mailing address
1018 COAL AVE SE, ALBUQUERQUE, NM 87106-5206
(505) 248-0303
(505) 248-1611
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T6249
—
NM
Enumeration date
06/01/2005
Last updated
01/24/2008
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