Organization
ANTHONY FREDERICKS MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY FREDERICKS MD (OWNER)
(760) 707-8504
Entity
Organization
Contact information
Practice address
4516 JOE DAN PL NE, ALBUQUERQUE, NM 87110-5043
(760) 707-8504
Mailing address
4516 JOE DAN PL NE, ALBUQUERQUE, NM 87110-5043
(760) 707-8504
Taxonomy
Speciality
Code
Description
License number
State
207PH0002X
Hospice and Palliative Medicine (Emergency Medicine) Physician
Primary
—
—
Other
Enumeration date
08/01/2025
Last updated
08/01/2025
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