Individual
CARLOS J RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2703 BERGENLINE AVE, UNION CITY, NJ 07087-3721
(201) 601-8119
Mailing address
178 POOR ST, HACKENSACK, NJ 07601-1709
(201) 601-8119
(201) 617-0556
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
D1447
NJ
Other
Enumeration date
05/16/2007
Last updated
07/09/2007
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