Individual
DR. DIANE SANSONETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5600 WYOMING BLVD NE STE 10, ALBUQUERQUE, NM 87109
(505) 821-5404
(505) 821-3148
Mailing address
38 CEDAR HILL PL NE, ALBUQUERQUE, NM 87122-1907
(505) 821-1636
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
87-284
NM
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
87-284
NM
Other
Enumeration date
12/14/2006
Last updated
08/24/2018
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