Provider Demographics
NPI:1003182809
Name:CUTRUFELLO, NICHOLAS JAMES (MD)
Entity Type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:JAMES
Last Name:CUTRUFELLO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1009 GOLF COURSE RD SE
Mailing Address - Street 2:STE 109
Mailing Address - City:RIO RANCHO
Mailing Address - State:NM
Mailing Address - Zip Code:87124-4705
Mailing Address - Country:US
Mailing Address - Phone:505-891-3344
Mailing Address - Fax:505-896-4499
Practice Address - Street 1:1009 GOLF COURSE RD SE STE 109
Practice Address - Street 2:
Practice Address - City:RIO RANCHO
Practice Address - State:NM
Practice Address - Zip Code:87124-4705
Practice Address - Country:US
Practice Address - Phone:505-891-3344
Practice Address - Fax:505-896-4499
Is Sole Proprietor?:No
Enumeration Date:2012-03-26
Last Update Date:2017-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMMD2016-0517207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine