Individual
MAYRA JOSELYN RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7 MARTINDALE RD # 1, CLIFTON, NJ 07013-1614
(973) 638-1107
Mailing address
1 MAYWOOD AVE, MAYWOOD, NJ 07607-1001
(201) 464-4772
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
26NJ00473100
NJ
363L00000X
Nurse Practitioner
Primary
26NJ00473100
NJ
Other
Enumeration date
12/23/2013
Last updated
02/16/2021
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