Organization
MUSELLO PARTNERSHIP, LLC
Active
Other names
Kate M. Musello, MD
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE Y PEREZ (PRACTICE ADMINISTRATOR)
(505) 242-6899
Entity
Organization
Contact information
Practice address
881 LEAD AVE SE, ALBUQUERQUE, NM 87102-3644
(505) 242-6899
(505) 247-9064
Mailing address
881 LEAD AVE SE, ALBUQUERQUE, NM 87102-3644
(505) 242-6899
(505) 247-9064
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
85-252
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
28191
—
NM
01
—
4142
BLUE CROSS BLUE SHIELD
NM
Enumeration date
04/26/2007
Last updated
08/22/2020
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