Organization
UNM MEDICAL GROUP INC TRAUMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY R. MASCIOTA JR. (COO)
(505) 272-8950
Entity
Organization
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2745
(505) 272-8950
Mailing address
933 BRADBURY DR SE, SUITE 2222, ALBUQUERQUE, NM 87106-4374
(505) 272-8950
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
—
—
Other
Enumeration date
07/03/2008
Last updated
12/20/2010
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