IndividualActive
Carol Clericuzio, MD
NPI 1922013481 · Pediatric Adolescent Medicine Physician · Albuquerque, NM
Provider details
- NPI number
- 1922013481
- Entity type
- Individual
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 82-20 (NM)
Practice location
2211 Lomas Blvd Ne
Msc10 5590
Albuquerque, NM 87131-0001
Phone: (505) 272-5551
Mailing address
933 Bradbury Dr Se Ste 2222
Albuquerque, NM 87106-4375
Registry dates
- Enumerated
- 2006-07-30
- Last updated
- 2024-02-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.