Organization
GEORGE L. RODRIGUEZ, M.D., PC
Active
Other names
Advanced Diagnostics
Organization subpart
No
Provider details
NPI number
Authorized official
SIDNEY ZILBER (ADMINISTRATIVE DIRECTOR)
(215) 473-1500
Entity
Organization
Contact information
Practice address
7632 CITY AVE, PHILADELPHIA, PA 19151-2007
(215) 473-1500
(215) 473-1500
Mailing address
841 E ALLEGHENY AVE, PHILADELPHIA, PA 19134-2401
(215) 473-1500
(215) 473-4606
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
045575900
INDEPENDENCE BLUE CROSS
PA
Enumeration date
03/27/2014
Last updated
03/27/2014
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