Organization
MARINILDA RODRIGUEZ, DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARINILDA RODRIGUEZ DPM (OWNER)
(484) 664-2170
Entity
Organization
Contact information
Practice address
101 S 17TH ST, ALLENTOWN, PA 18104-6704
(484) 664-2170
Mailing address
PO BOX 90567, ALLENTOWN, PA 18109-0567
(484) 664-2170
(484) 664-2171
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
SC004807
PA
213ES0000X
Sports Medicine Podiatrist
SC004807
PA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC004807
PA
213ES0131X
Foot Surgery Podiatrist
SC004807
PA
Other
Enumeration date
06/24/2006
Last updated
11/15/2007
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