Provider Demographics
NPI:1689943318
Name:ALBRECHT, MANFRED (MD FACR)
Entity Type:Individual
Prefix:DR
First Name:MANFRED
Middle Name:
Last Name:ALBRECHT
Suffix:
Gender:M
Credentials:MD FACR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6928 N. GREEN MT PLACE
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85718-1315
Mailing Address - Country:US
Mailing Address - Phone:520-299-1247
Mailing Address - Fax:
Practice Address - Street 1:6928 N. GREEN MT PLACE
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85718-1315
Practice Address - Country:US
Practice Address - Phone:520-299-1247
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-27
Last Update Date:2011-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY089479-1207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology