Organization
ALBUQUERQUE CENTER FOR DERMATOLOGY, PA
Active
Organization
ALBUQUERQUE CENTER FOR DERMATOLOGY, PA
Active
Other names
ABQ Center for Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT A MUSCARELLA M.D. (PRESIDENT)
(505) 293-5333
Entity
Organization
Contact information
Practice address
8100 CONSTITUTION PL NE, SUITE 310, ALBUQUERQUE, NM 87110-7643
(505) 293-5333
(505) 293-5334
Mailing address
8100 CONSTITUTION PL NE, SUITE 310, ALBUQUERQUE, NM 87110-7643
(505) 293-5333
(505) 293-5334
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
67-57
NM
207ND0101X
MOHS-Micrographic Surgery Physician
67-57
NM
207ND0900X
Dermatopathology Physician
67-57
NM
207NP0225X
Pediatric Dermatology Physician
67-57
NM
207NS0135X
Procedural Dermatology Physician
Primary
67-57
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20107
—
NM
Enumeration date
10/08/2006
Last updated
08/22/2007
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