Healthcare Provider Details

I. General information

NPI: 1750405783
Provider Name (Legal Business Name): ROSALIND G. EPSTEIN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/16/2007
Last Update Date: 03/21/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8301 SPAIN RD NE
ALBUQUERQUE NM
87109-3166
US

IV. Provider business mailing address

13404 QUAKING ASPEN PL NE
ALBUQUERQUE NM
87111-7159
US

V. Phone/Fax

Practice location:
  • Phone: 505-821-6663
  • Fax: 505-823-2683
Mailing address:
  • Phone: 505-803-6565
  • Fax: 505-856-1681

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number89-190
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: