Edward Benjamin Cazzola | Albuquerque, NM • PECOS Search

Edward Benjamin Cazzola

Internal Medicine

Allopathic & Osteopathic Physicians

4901 Lang Ave NE, Albuquerque, NM 87109-4495

(505) 842-8171 (505) 828-3787

PECOS Enrollment

Based on the most recent information from CMS, provider Edward Benjamin Cazzola does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1285729921
Provider Type
Individual
Full Name
Cazzola, Edward Benjamin
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
Yes
Enumeration Date
10/4/2006
Last Updated
2/26/2014

Contact Information

Practice Location

4901 Lang Ave NE, Albuquerque, NM 87109-4495

(505) 857-8479

Mailing Location

4901 Lang Ave NE, Albuquerque, NM 87109-4495

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License NM8125 New Mexico