Epiphany Dermatology Of New Mexico, Llc

LBN: Epiphany Dermatology Of New Mexico, Llc
Epiphany Dermatology Of New Mexico, Llc is an health care organization with primary practice located at 5600 Eubank Blvd Ne Ste 110, Albuquerque NM 87111-1519. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Epiphany Dermatology Of New Mexico, Llc can be contacted via phone (512) 628-0465, or through Pusta, Gheorghe via phone (512) 628-0465.

Contact Information

Primary practice address
5600 Eubank Blvd Ne Ste 110 Albuquerque NM 87111-1519
Phone: (512) 628-0465
Fax: (512) 628-0468
Website:
Map and Directions
Authorized official contact:
Name: Pusta, Gheorghe
Phone: (512) 628-0465

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 88-97 New Mexico

Profile Details

NPI number 1447615760
LBN Legal business name Epiphany Dermatology Of New Mexico, Llc
DBA Doing business as
Authorized official Pusta, Gheorghe
Entity Organization
Organization subpart 1 No
Enumeration date Dec 31st, 2015
Last updated Dec 7th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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