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

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Injury Rehabilitation Centers of Pennsylvania /Advanced Diagnostics/Un
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982818407
- **Authorized official:** SIDNEY M ZILBER (ADMINISTRATIVE DIRECTOR)
- **Authorized official phone:** (215) 425-1500

## Contact information

- **Practice address:** 841 E ALLEGHENY AVE, PHILADELPHIA, PA 19134-2401
- **Practice address phone:** (215) 425-1500
- **Practice address fax:** (215) 425-1659
- **Mailing address:** 841 E ALLEGHENY AVE, PHILADELPHIA, PA 19134-2401
- **Mailing address phone:** (215) 425-1500
- **Mailing address fax:** (215) 425-1659

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 2085R0202X | Diagnostic Radiology Physician | — | NULL | — |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 05/10/2007
- **Last updated:** 03/24/2011