Individual
CORICA MARIE RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4321
Mailing address
110 IRVING ST NW, WASHINGTON, DC 20010-3017
(323) 491-0627
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD042594
DC
Other
Enumeration date
08/26/2011
Last updated
11/12/2014
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