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Individual
DR. RODRIGO PENALOSA
Active
Individual
DR. RODRIGO PENALOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
196580
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01504750
—
NY
Enumeration date
07/07/2005
Last updated
11/18/2016
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