Individual
DR. RODOLFO I GODINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1036 SPROUL RD, BRYN MAWR, PA 19010-2028
(610) 527-2665
(610) 527-2665
Mailing address
1036 SPROUL RD, BRYN MAWR, PA 19010-2028
(610) 527-2665
(610) 527-2665
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD020270E
PA
207LP3000X
Pediatric Anesthesiology Physician
Primary
MD020270E
PA
208000000X
Pediatrics Physician
MD020270E
PA
2080P0203X
Pediatric Critical Care Medicine Physician
MD020270E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006843530
—
PA
Enumeration date
08/19/2006
Last updated
08/26/2014
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