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Individual

DR. GLADYS S TSAO-WU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
801 ENCINO PL NE, D-7, ALBUQUERQUE, NM 87102-2612
(505) 842-6868
(505) 842-9325
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD 2006-0440
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
346706802
MEDICARE PTAN
NM
05
70284776
NM
01
MD 2006-0440
NM LICENCE NUMBER
NM
Enumeration date
07/18/2005
Last updated
06/05/2025
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