Giudice, Vivian B

Giudice, Vivian B is an individual health care provider with primary practice located at 801 Encino Pl Ne Ste A6, Albuquerque NM 87102-2641. She recently has only one registered license in Group / Groups of Doctors / Single Specialty, which is considered as her primary health care specialty. Giudice, Vivian B can be contacted via phone (505) 224-7400.

Contact Information

Primary practice address
801 Encino Pl Ne Ste A6 Albuquerque NM 87102-2641
Phone: (505) 224-7400
Fax: (505) 224-7404
Website:
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Health care specialties

SpecialtyCodeLicense #State
Group / Groups of Doctors / Single Specialty 193400000X 85-0367991 New Mexico

Profile Details

NPI number 1174617542
LBN Legal business name Giudice, Vivian B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Jun 22nd, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174617542 NPPES
New Mexico MEDICAID 26526

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