Individual
NICHOLAS NARDACCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, MD
Contact information
Practice address
2919 COMMERCIAL ST NE, ALBUQUERQUE, NM 87107-1515
(505) 345-7383
Mailing address
2919 COMMERCIAL ST NE, ALBUQUERQUE, NM 87107-1515
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
80-72
NM
Other
Enumeration date
07/22/2008
Last updated
07/22/2008
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