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Organization
GEORGE L. RODRIGUEZ, M.D., P.C.
Active
Organization
GEORGE L. RODRIGUEZ, M.D., P.C.
Active
Other names
Injury Rehabilitation Centers of Pennsylvania
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELLEN C. BAMBA (PRACTICE ADMINISTRATOR)
(215) 425-1500
Entity
Organization
Contact information
Practice address
841 E ALLEGHENY AVE, PHILADELPHIA, PA 19134-2401
(215) 425-1500
(215) 425-1659
Mailing address
1000 EASTON ROAD, SUITE 290, WYNCOTE, PA 19095-2926
(215) 576-0190
(215) 576-5132
Taxonomy
Speciality
Code
Description
License number
State
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
MD-025907
PA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
09/25/2008
Last updated
06/24/2009
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