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Individual

DR. REINERIO RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
225 60TH ST, WEST NEW YORK, NJ 07093-2805
(201) 869-8888
Mailing address
225 60TH ST, WEST NEW YORK, NJ 07093-2805
(201) 869-8888

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA09049900
NJ
207Q00000X
Family Medicine Physician
35120347
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0080116
OH
Enumeration date
06/22/2009
Last updated
06/20/2016
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