Organization
BREAST SPECIALTY CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN A. SEEDMAN MD, FACS (PRESIDENT/OWNER)
(505) 248-1518
Entity
Organization
Contact information
Practice address
1010 LAS LOMAS RD NE, SUITE 1, ALBUQUERQUE, NM 87102-2634
(505) 248-1518
(505) 248-1610
Mailing address
1010 LAS LOMAS RD NE, SUITE 1, ALBUQUERQUE, NM 87102-2634
(505) 248-1518
(505) 248-1610
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
83-108
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
26229
—
NM
Enumeration date
09/06/2007
Last updated
12/13/2010
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