IndividualActive
Anthony Fredericks, MD
NPI 1114486107 · Hospice and Palliative Medicine (Emergency Medicine) Physician · Albuquerque, NM
Provider details
- NPI number
- 1114486107
- Entity type
- Individual
- Primary specialty
- Hospice and Palliative Medicine (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD2023-0371 (NM)
Practice location
1 University of New Mexico Msc10 5550
Albuquerque, NM 87131-0001
Phone: (505) 272-4661
Mailing address
800 Bradbury Dr Se Ste 116
Albuquerque, NM 87106-4310
Registry dates
- Enumerated
- 2019-03-18
- Last updated
- 2025-02-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.