Individual
JAVIER ENRIQUE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
234 E 149TH ST, BRONX, NY 10451-5504
(718) 579-6011
Mailing address
100 STATE ST APT 205, HACKENSACK, NJ 07601-5472
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA11263800
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/20/2017
Last updated
05/05/2022
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