Provider Demographics
NPI:1538121595
Name:MCCARTHY, DENIS MATTHEW (MD)
Entity type:Individual
Prefix:DR
First Name:DENIS
Middle Name:MATTHEW
Last Name:MCCARTHY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3012 DON QUIXOTE DR NW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87104-3036
Mailing Address - Country:US
Mailing Address - Phone:505-247-3248
Mailing Address - Fax:
Practice Address - Street 1:NMVAHCS-111F
Practice Address - Street 2:1501 SAN PEDRO BLVD. SE
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87108-5153
Practice Address - Country:US
Practice Address - Phone:505-256-2801
Practice Address - Fax:505-256-5751
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-05
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NMNM-203207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM80-203OtherSTATE LICENSE