Individual
MR. ATHANASIOS DESALERMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4705 MONTGOMERY BLVD NE STE 201, ALBUQUERQUE, NM 87109-1233
(505) 727-7833
Mailing address
PO BOX 3160, ANDOVER, MA 01810-0803
(978) 474-8885
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
01097413A
IN
207RG0100X
Gastroenterology Physician
2025041095
MO
207RG0100X
Gastroenterology Physician
Primary
274317
MA
Other
Enumeration date
04/13/2012
Last updated
03/02/2026
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