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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

NPI # 1932083102
LBN Legal business name ANTHONY FREDERICKS MD LLC
Authorized official ANTHONY FREDERICKS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/01/2025
Last updated 08/01/2025 - About 10 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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