Individual
MARLENE V RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2605 SHORE RD, NORTHFIELD, NJ 08225-2136
(609) 365-5300
(609) 365-5306
Mailing address
1 E. NEW YORK AVE, 4TH FLOOR - SPG, SOMERS POINT, NJ 08244
(609) 653-3994
(609) 926-4311
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MA066529
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8364702
—
NJ
Enumeration date
08/24/2006
Last updated
02/02/2021
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