# GEORGE L. RODRIGUEZ, M.D., P.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Injury Rehabilitation Centers of Pennsylvania
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205072550
- **Authorized official:** MS. ELLEN CAMPION BAMBA (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (215) 425-1500

## Contact information

- **Practice address:** 7632 CITY LINE AVE, PHILADELPHIA, PA 19151-2007
- **Practice address phone:** (215) 473-1500
- **Practice address fax:** (215) 473-5293
- **Mailing address:** 841 E ALLEGHENY AVE, PHILADELPHIA, PA 19134-2401
- **Mailing address phone:** (215) 425-1500
- **Mailing address fax:** (215) 425-1659

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | MD 045274E | PA | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | MD 036647E | PA | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | MD 036647E | PA | — |

## Other

- **Enumeration date:** 12/16/2008
- **Last updated:** 06/24/2009