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Organization
GEORGE L RODRIGUEZ MD PC
Active
Organization
GEORGE L RODRIGUEZ MD PC
Active
Other names
Injury Rehabilitation Centers of Pennsylvania
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN C BAMBA (OFFICE MANAGER)
(215) 425-1500
Entity
Organization
Contact information
Practice address
1938 S COLUMBUS BLVD, PHILADELPHIA, PA 19148-2802
(215) 462-1500
(215) 462-2010
Mailing address
841 E ALLEGHENY AVE, PHILADELPHIA, PA 19134-2401
(215) 425-1500
(215) 425-1659
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD 045274E
PA
208100000X
Physical Medicine & Rehabilitation Physician
MD 036647E
PA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
05/15/2007
Last updated
06/24/2009
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