Individual
DANIEL ALEXANDER RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
108 BILBY RD, SUITE 201, HACKETTSTOWN, NJ 07840-4174
(908) 684-3005
Mailing address
122 BRENDONA AVE, STANHOPE, NJ 07874-2026
(973) 919-5470
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
577321
NJ
2255A2300X
Athletic Trainer
Primary
25MT00172100
NJ
Other
Enumeration date
01/19/2013
Last updated
01/19/2013
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