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Contact Information

EUGENE W WASYLENKI, MD
7012 VISTA DEL ARROYO AVE NE
ALBUQUERQUE, NM87109-2933
 Phone: 505-884-7813
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for EUGENE W WASYLENKI · (Male)

NPI Number 1619197316
Status Active
Credentials MD
Entity Individual
Enumeration date 04/26/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • NM License # NM 72-245
  • NM Medicaid 29173
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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