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Contact Information

ANTHONY FREDERICKS MD LLC
4516 JOE DAN PL NE
ALBUQUERQUE, NM87110-5043
 Phone: 760-707-8504
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice and Palliative Medicine

207PH0002X 17 Physician/Hospice and Palliative Care
Indicates primary specialty

NPI Profile & details for ANTHONY FREDERICKS MD LLC · (Female)

NPI # 1932083102
Status Active
Credentials
Entity Individual
Enumeration date 08/01/2025
Last updated 08/01/2025 - About 10 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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