Individual
KEIRY GRESELDA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
51 N 39TH STREET, PHILADELPHIA, PA 19104-2640
(215) 662-8214
(215) 662-3953
Mailing address
3400 SPRUCE STREET, GROUND RAVDIN, PHILADELPHIA, PA 19104-4283
(215) 662-8214
(215) 662-3953
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD491063
PA
Other
Enumeration date
03/28/2021
Last updated
09/22/2025
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