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Individual
RODRIGUE TERTUS
Active
Individual
RODRIGUE TERTUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
2279G1100X
General Care Registered Respiratory Therapist
43ZA00065700
NJ
363A00000X
Physician Assistant
Primary
—
—
363AS0400X
Surgical Physician Assistant
25MP00078700
NJ
363AS0400X
Surgical Physician Assistant
PA9107169
FL
Other
Enumeration date
05/15/2007
Last updated
02/06/2023
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