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Contact Information

MARCELLO A MAVIGLIA, MD,MPH
1336 LAFAYETTE DR NE
ALBUQUERQUE, NM87106-1123
 Phone: 505-688-6055
 Fax: 505-346-9402
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Psychiatry

2084P0802X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for MARCELLO A MAVIGLIA · (Male)

NPI # 1699948489
Status Active
Credentials MD,MPH
Entity Individual
Enumeration date 04/11/2008
Last updated 04/11/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • NM License # 90-245
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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