Provider Demographics
NPI:1295891257
Name:LINDEN, JANET A (DOM)
Entity type:Individual
Prefix:DR
First Name:JANET
Middle Name:A
Last Name:LINDEN
Suffix:
Gender:F
Credentials:DOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3901 GEORGIA STREET NE
Mailing Address - Street 2:SUITE E-2
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87110
Mailing Address - Country:US
Mailing Address - Phone:505-888-6400
Mailing Address - Fax:505-830-9256
Practice Address - Street 1:3901 GEORGIA ST NE
Practice Address - Street 2:SUITE E-2
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87110-1388
Practice Address - Country:US
Practice Address - Phone:505-888-6400
Practice Address - Fax:505-830-9256
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-27
Last Update Date:2016-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM575 RX1171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist