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Organization
GEORGE L. RODRIGUEZ, M.D., PC
Active
Organization
GEORGE L. RODRIGUEZ, M.D., PC
Active
Other names
Advanced Diagnostics
Organization subpart
No
Provider details
NPI number
Authorized official
SIDNEY ZILBER (ADMINISTRATIVE DIRECTOR)
(215) 473-1500
Entity
Organization
Contact information
Practice address
3140 TREMONT AVE, TREVOSE, PA 19053-6644
(215) 322-3220
Mailing address
841 E ALLEGHENY AVE, PHILADELPHIA, PA 19134-2401
(215) 425-1500
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
045575900
INDEPENDENCE BLUE CROSS
PA
Enumeration date
02/08/2011
Last updated
02/08/2011
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