Individual
CAROL CLERICUZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2211 LOMAS BLVD NE, MSC10 5590, ALBUQUERQUE, NM 87131-0001
(505) 272-5551
Mailing address
933 BRADBURY DR SE STE 2222, ALBUQUERQUE, NM 87106-4375
(505) 272-3120
(505) 272-8060
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
82-20
NM
Other
Enumeration date
07/30/2006
Last updated
02/16/2024
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