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Individual

DR. TODD A GOLDBLUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
303 MULBERRY NE, ALBUQUERQUE, NM 87106
(505) 247-9739
(505) 243-9739
Mailing address
303 MULBERRY NE, ALBUQUERQUE, NM 87106
(505) 243-9739
(505) 842-0650

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
95-62
NM
207W00000X
Ophthalmology Physician
9562
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
F3746
NM
Enumeration date
07/07/2005
Last updated
03/10/2025
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