# GEORGE L. RODRIGUEZ, M.D., PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Advanced Diagnostics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831495811
- **Authorized official:** SIDNEY ZILBER (ADMINISTRATIVE DIRECTOR)
- **Authorized official phone:** (215) 473-1500

## Contact information

- **Practice address:** 70 E SWEDESFORD RD, SUITE 125, MALVERN, PA 19355-1436
- **Practice address phone:** (610) 647-6701
- **Mailing address:** 841 E ALLEGHENY AVE, PHILADELPHIA, PA 19134-2401
- **Mailing address phone:** (215) 425-1500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 02/08/2011
- **Last updated:** 02/08/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 045575900 | INDEPENDENCE BLUE CROSS | PA |