Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RS0012X | Sleep Medicine | MD2016-0517 | NM |
NPI | 1003182809 |
---|---|
Provider Name | Dr. Nicholas James Cutrufello |
First Address | Rio Rancho, NM 87124-4705 |
Second Address | Rio Rancho, NM 87124-4705 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2012 |
Last Update Date | 13/11/2017 |