NPI 1932083102 · live from the CMS NPI Registry
Anthony Fredericks MD LLC
Emergency Medicine, Hospice and Palliative Medicine in Albuquerque, NM. National Provider Identifier 1932083102, active.
NPI record
| NPI | 1932083102 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Emergency Medicine, Hospice and Palliative Medicine 207PH0002X |
| Practice location | 4516 Joe Dan Pl Ne, Albuquerque, NM 87110 |
| Practice phone | 760-707-8504 |
| Enumerated | August 1, 2025 |
| Last updated | August 1, 2025 |
| Authorized official | Anthony Fredericks, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medicine, Hospice and Palliative Medicine primary | 207PH0002X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.