| Albuquerque Internal Medicine LLC | |
|
4121 Montgomery Blvd Ne Albuquerque NM 87109-1102 | |
| (505) 314-0748 | |
| Not Available |
| Full Name | Albuquerque Internal Medicine LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 4121 Montgomery Blvd Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | William Oliver Berlin (PHYSICIAN) |
| Authorized Official Contact | 5053140748 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Albuquerque Internal Medicine LLC 4101 Blue Ridge Pl Ne Albuquerque NM 87111-4166 Ph: (505) 314-0748 | Albuquerque Internal Medicine LLC 4121 Montgomery Blvd Ne Albuquerque NM 87109-1102 Ph: (505) 314-0748 |
| NPI Number | 1023188679 |
|---|---|
| Provider Enumeration Date | 11/09/2006 |
| Last Update Date | 11/14/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023188679 | NPI | - | NPPES |
| DD1175 | Other | RAILROAD MEDICARE | |
| 00013372 | Medicaid | NM | |
| NM019U17 | Other | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
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