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Individual
MR. RODOLFO MALDONADO
Active
Individual
MR. RODOLFO MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA07792000
NJ
305S00000X
Point of Service
25MA07792000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0080012
—
NJ
01
—
P00780649
RR MEDICARE
NJ
Enumeration date
08/25/2006
Last updated
06/10/2020
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